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Clinical Pharmacy Expert

1 week ago


Bellevue, Washington, United States Cambia Health Solutions Full time

About the Opportunity:

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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.

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Your Key Responsibilities:

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  • 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.">
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What We Offer:

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We offer a dynamic and supportive work environment, competitive compensation and benefits package, and opportunities for professional growth and development.

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Requirements:

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  • 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.">
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Skills and Attributes:

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You should possess:

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  • 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.">