Pharmaceutical Care Specialist

2 weeks ago


Chattanooga, Tennessee, United States BlueCross BlueShield of Tennessee Full time
Position Overview

The Clinical Pharmacist I plays a vital role in the healthcare team by ensuring optimal medication management and safety. This position is responsible for the following key functions:

Key Responsibilities
  • Contributes to the formulation and upkeep of drug formularies, clinical guidelines, and medication management protocols.
  • Acts as a clinical expert and resource for drug information, providing support to medical, pharmacy, and nursing professionals, as well as allied healthcare providers.
  • Handles requests for prior authorizations, appeals, and grievances from prescribers and members, ensuring compliance with regulatory timelines.
  • Engages in continuous quality improvement activities, maintaining documentation and oversight to support NCQA, URAC, and CMS standards on a regular basis.
Qualifications

Education
  • Doctor of Pharmacy (PharmD) Degree is required.
Experience
  • A minimum of 5 years of clinical experience is required, or completion of a 1-year residency, and/or Board of Pharmacy Specialties certification.
Skills and Competencies
  • Proficient in navigating compendia and conducting research.
  • Skilled in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
  • Able to work independently with minimal oversight or collaboratively within a team, sharing responsibilities and accountability.
  • Strong organizational skills with the ability to manage multiple projects effectively.
  • Excellent verbal and written communication abilities.
  • Robust interpersonal skills and a solid understanding of regulatory frameworks (FDA, NCQA, EQRO, CMS).
  • In-depth knowledge of pharmaceutical and medical products.
Licensure
  • Must be licensed to practice pharmacy in Tennessee or eligible for licensure in the state.
Openings Available:
1

Employment Type:
Employee

Company:
BCBST BlueCross BlueShield of Tennessee, Inc.

Equal Opportunity Employment

BCBST is committed to fostering a diverse workplace and provides equal employment opportunities to all employees and applicants without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Tobacco-Free Hiring Policy

To promote health and wellness, BlueCross BlueShield of Tennessee has implemented a tobacco-free hiring policy. All employment offers are contingent upon passing a background check, including a drug and tobacco/nicotine screening.

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