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Clinical Pharmacy Expert
1 week ago
About the Opportunity:
">We are seeking a highly skilled Clinical Pharmacist Consultant to join our team at Cambia Health Solutions. As a key member of our Pharmacy Services team, you will play a critical role in providing expert clinical guidance and decision-making support to optimize medication choices for efficacy, safety, and affordability.
">Your Key Responsibilities:
">- ">
- Evaluate prior authorization requests, appeals, and retrospective claim reviews to provide coverage recommendations.">
- Collaborate with medical directors, case managers, and other staff on clinical, policy, and benefit-related questions and interventions.">
- Contribute to strategic planning and implementation of clinical initiatives, such as formulary management, medication therapy management programs, quality initiatives, and integrated pharmacy and case management strategies.">
- Analyze healthcare cost information to inform decision-making and develop position papers on key issues affecting pharmacy benefits.">
What We Offer:
">We offer a dynamic and supportive work environment, competitive compensation and benefits package, and opportunities for professional growth and development.
">Requirements:
">- ">
- Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD) or related field.">
- 3-5 years of experience in clinical acute care/hospital setting.">
- Equivalent combination of education and experience.">
- Pharmacy license.">
- Successful completion of a pharmacy residency or advanced degree in health-related field preferred.">
Skills and Attributes:
">You should possess:
">- ">
- Clinical expertise in pharmacotherapy and drug information.">
- Excellent verbal and written communication skills.">
- Strong business analytical skills and abilities.">
- Proven success in managing professional relationships within managed care systems.">
- Familiarity with state and federal laws and regulations governing the practice of pharmacy and healthcare industry practices.">