Clinical Pharmacist

2 weeks ago


Bismarck, North Dakota, United States Essentia Health Full time

Position Overview

Role Summary:

This position is integral to the Medication Access Services team, focusing on enhancing patient care through effective medication management. The Clinical Pharmacist will engage in a collaborative, team-oriented environment, ensuring that patients receive optimal medication therapy. Responsibilities include conducting thorough benefits investigations, managing prior authorization processes, and supporting appeals for medication coverage.

Key Responsibilities:

  • Perform clinical evaluations and benefits assessments for medication orders initiated by healthcare providers.
  • Assist Medication Access Associates with inquiries related to prior authorizations and eligibility for Medicare prescriptions.
  • Enhance the utilization of designated therapies, particularly specialty-lite medications.
  • Utilize electronic medical records to accurately assess patient eligibility for medications based on third-party requirements.
  • Foster effective communication and collaboration with healthcare providers, nursing staff, pharmacies, and third-party payers to resolve claims processing issues.
  • Engage directly with patients, providing counseling on medications obtained through Manufacturer-based Patient Assistance Programs.

Educational Qualifications:

  • Doctor of Pharmacy (Pharm.D.) or Bachelor of Science in Pharmacy from an accredited institution.

Required Experience:

  • A minimum of one year of experience in a pharmacy practice setting.

Preferred Experience:

  • Completion of a pharmacy residency program is preferred.
  • Experience in managed care, formulary management, or medication therapy management is advantageous.

Licensure Requirements:

  • Must hold a valid Registered Pharmacist license in the state of practice.

Work Environment:

This role is designed for a dynamic healthcare setting, emphasizing teamwork and patient-centered care. The Clinical Pharmacist will play a crucial role in optimizing medication access and ensuring high-quality patient outcomes.



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