PBM Experienced Pharmacist
2 months ago
We are currently seeking an experienced Pharmacist to join our Ambulatory Team for a 13-week contract in Philadelphia, PA. In this Benefits Investigation role, youll be integral in ensuring that patients medication orders are processed efficiently while assisting with benefit eligibility and claims adjudication.
Location: Philadelphia, PA
Start Date: December 2, 2024
Duration: 13-week assignment
Shift: Day shift (Start time: 8:00 AM or 9:00 AM, 5x8-hour shifts, no weekends)
- Process, prepare, and dispense prescriptions through the pharmacy system, including adjudication of claims to third-party insurance plans.
- Ensure proper documentation and record retention for medication orders, accurately selecting the correct drug, dosage form, strength, and quantity.
- Perform drug utilization reviews (DUR) to assess medication appropriateness, duplicate therapy, side effects, drug interactions, etc.
- Maintain active munication with patients, prescribers, pharmacy team members, and healthcare providers regarding prescription processing and patient benefit eligibility.
- Provide excellent customer service to patients and staff, assisting with pharmacy operational needs, inventory control, and safety protocols.
- Administer injectables and vaccines as applicable.
- Monitor patient profiles and ensure the accurate dispensing of medications according to guidelines and state/federal regulations.
- Ensure the security of the pharmacy while on duty and follow all health system policies, state, and federal laws.
- Assume pharmacy management responsibilities in the absence of the pharmacy manager.
- PA Pharmacist License in good standing required.
- Minimum 2 years of prior experience working in health plan/PBM settings, with a strong background in benefit eligibility and claims processing.
- Excellent munication skills with the ability to manage phone inquiries and provide clear, timely information to patients, healthcare providers, and pharmacy staff.
- Prior experience in managed care/PBM settings highly desired. We will consider retail pharmacists with 1-2 years of recent experience in a similar role, provided they demonstrate strong munication skills and a solid understanding of health plans/PBM processes.
- Ability to perform physical/working requirements within a pharmacy/delivery area.
- No weekends: Enjoy a consistent weekday schedule.
- Opportunity to enhance your experience working with health plans and PBMs in an ambulatory setting.
- Work in a collaborative and dynamic pharmacy environment that values patient care and operational efficiency.
If you're looking for an opportunity to expand your career in the pharmacy field with a focus on patient benefits and medication management, we encourage you to apply today
Contact:
Alexis Sommers
alexis.sommers@soliant.
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