Clinical Pharmacy Consultant Specialist
3 weeks ago
Company Overview
Cambia Health Solutions is a leading healthcare organization dedicated to creating a person-focused and economically sustainable health care system. Our team of experienced professionals is passionate about delivering high-quality, cost-effective pharmacy services that improve patient outcomes.
About the Job
We are seeking a highly skilled Clinical Pharmacy Consultant to join our Pharmacy Services team. As a member of this team, you will provide expert clinical guidance and decision-making support, leveraging evidence-based medicine to optimize medication choices for efficacy, safety, and affordability.
Salary
The estimated annual salary for this position is $120,000 - $150,000, depending on experience and qualifications.
Job Description
- Evaluate prior authorization requests, appeals, and retrospective claim reviews
- Provide coverage recommendations and serve as a resource for 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, develop position papers, create medication coverage policies, and collaborate on cross-functional projects that impact safety, quality, and affordability of pharmacy benefits
Required Skills and Qualifications
- 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
Benefits
We offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
Others
Cambia Health Solutions is an equal opportunity employer committed to diversity and inclusion. We welcome applications from qualified candidates who share our values and commitment to excellence.
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