Pharmacist II

4 weeks ago


Carson City, United States Reliable Health Care Services of Southern Nevada, Inc Full time
Reliable Health Care is hiring a Pharmacist II for The Nevada Division of Health Care Financing and Policy (DHCFP) located in Carson City, NV

DHCFP is seeking a Medicaid Contract Pharmacist to provide clinical expertise within the Nevada Medicaid pharmacy benefit. This is a full-time, contract position that may require travel to/within the state of Nevada.

The mission of DHCFP is to purchase and provide quality health care services to low-income Nevadans in the most efficient manner; promote equal access to health care at an affordable cost to the taxpayers of Nevada; restrain the growth of health care costs; and review Medicaid and other state health care programs to maximize potential federal revenue.

Highly Competitive Salary - up to $74/hour
Regular work hours with flex schedule options
Hybrid - in-office (Carson City or Reno) and remote

Benefits:

W2 position
Flexible schedule
Highly competitive salary
Health, Dental, and Vision available for full-time employees
PTO (with annual increases)
CEU/Professional Development reimbursements
No-cost professional liability insurance

THE POSITION: This position is within the DHCFP, commonly known as Nevada Medicaid. This position reports directly to, and serves at the pleasure of, the Medicaid Pharmacy Director.

The Medicaid Contract Pharmacist will perform clinical reviews of medical and outpatient pharmacy utilization management criteria and cases using their clinical acumen and taking into consideration program policies and state and federal regulations. They will assist with drug prior authorization (PA) exception requests, appeals reviews, develop policies based upon clinical guidelines, and conduct audits of the pharmacy benefit across Fee-for-Service and Managed Care Organizations (MCO). The Medicaid Contract Pharmacist will be required to testify at applicable appeals hearings, evaluate offsetting costs and advise on rebate program changes, assist in the administration of the pharmacy benefit, and utilize shifts in utilization to recommend changes to benefit design.

Other duties the Medicaid Contract Pharmacist is responsible for:

Formulary management including but not limited to activities such as development of clinical pharmacy utilization management criteria, cost decision-making, and benefit determination.
Participate in the development and execution of clinical quality assurance programs.
Provide clinical guidance and support to various internal departments that require clinical pharmacist intervention.
Assist with the development of cost-effective pharmacy measures, provide delegate oversight of all Nevada Medicaid Pharmacy Benefits Managers (PBM), and advise on claims issues.
Assist with developing and presenting drug monographs, executive summaries, therapeutic class reviews, and medication policies to Pharmacy & Therapeutics Committees (DUR and SSSB boards).
Utilize claims data and trends to evaluate benefit design for inappropriate utilization and opportunities to improve outcomes and optimize drug spend.
Provide oversight of the administration of the Preferred Drug List (PDL) and evaluate utilization shifts and associated impact on prescription drug spending.
Perform other oversight activities as assigned by the Medicaid Pharmacy Director.

QUALIFICATIONS:

Doctor of Pharmacy (PharmD) degree or equivalent education that satisfies pharmacist license requirements
Current, valid Pharmacist license to practice in any state in good standing
Two or more years of clinical, managed care, health plan, or pharmacy benefit management experience
Proficient in the evaluation of drug literature, clinical trial data, and electronic database information
Strong clinical and analytical background for specialty medication is preferred
Since 1991, Reliable Health Care Services has been supplying the private sector and government with highly qualified medical personnel. We are Certified by The Joint Commission and have amazing opportunities for placement at premier healthcare programs, medical facilities, and hospitals.

Recruiter: Michelle

  • Jersey City, New Jersey, United States ATC Palm Beach County Full time

    Job OpportunityWe are seeking a highly skilled Pharmacist to join our team at a Level II trauma center in Hudson, Florida.Job Details:Contract: 13 weeksPay: $2,300.00 per weekLocation: Hudson, FloridaWork Type: In-personRequirements:2 years' experience as a PharmacistBLS and Pharmacist LicenseBenefits:Competitive payOpportunity to work in a Level II trauma...


  • Jersey City, New Jersey, United States ATC Palm Beach County Full time

    Job Title: Travel Pharmacist Med SurgJob Summary:ATC Healthcare Services, LLC is seeking a licensed pharmacist for a 13-week contract at a level II trauma center in Hudson, Florida. The ideal candidate will have 2 years of experience and a strong commitment to patient care.Responsibilities:Provide medication management and patient care servicesCollaborate...

  • Staff Pharmacist

    7 days ago


    Kansas City, United States Apria Healthcare Full time

    At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do. Our mission is to empower our...


  • Kansas City, Missouri, United States Truman Medical Centers Full time

    Job Summary:Truman Medical Centers is seeking a highly skilled Pharmacy Technician II to join our team. As a Pharmacy Technician II, you will play a critical role in the daily maintenance of our drug distribution system.Responsibilities:Participate in all aspects of the inpatient medication use process, including distribution of medications from pharmacy to...

  • Staff Pharmacist

    1 month ago


    Kansas City, United States Apria Full time

    At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do.Our mission is to empower our...

  • Staff Pharmacist

    2 weeks ago


    Kansas City, United States Apria Healthcare Full time

    At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do.Our mission is to empower our...

  • Staff Pharmacist

    1 month ago


    Kansas City, United States Apria Full time

    At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customersand their patientsare at the heart of what we do. Our mission is to empower our...


  • Johnson City, Tennessee, United States Ballad Health Full time

    Job Description:The pharmacy technician, working under the supervision and instruction of a licensed pharmacist, performs procedures and duties relating to the service's Scope of Care.This will include preparation of both sterile and non-sterile medication dosage forms and special project assignments.The pharmacy technician serves as the initial contact for...

  • Staff Pharmacist

    4 days ago


    Kansas City, MO, United States Apria Healthcare LLC Full time

    At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do. Our mission is to empower our...


  • Salt Lake City, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we...


  • Salt Lake City, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we...


  • Jersey City, New Jersey, United States Option Care Health Full time

    Job Summary:Option Care Health is seeking a skilled Compounding Pharmacy Technician II to join our team. As a Compounding Pharmacy Technician II, you will work under the direction of a licensed pharmacist to prepare and dispense medications and supplies in accordance with company policies and procedures, as well as state regulations and standards.Key...


  • Neptune City, United States Hackensack Meridian Health Full time

    Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another...


  • Grove City, United States Mount Carmel Health System Full time

    Employment Type:Full timeShift:Evening ShiftDescription:About the job:The Certified Pharmacy Tech II, will assist the pharmacist in assuring timely and accurate provision of medications to patients. Routine technician functions are performed under the direct supervision of a pharmacist. These functions may include unit dose dispensing, intravenous admixing,...


  • Grove City, United States Mount Carmel Health System Full time

    Job DescriptionEmployment Type:Full timeShift:Evening ShiftDescription:About the job:The Certified Pharmacy Tech II, will assist the pharmacist in assuring timely and accurate provision of medications to patients. Routine technician functions are performed under the direct supervision of a pharmacist. These functions may include unit dose dispensing,...


  • Grove City, OH, United States Mount Carmel Health System Full time

    Employment Type: Full time Shift: Evening Shift Description: About the job:The Certified Pharmacy Tech II, will assist the pharmacist in assuring timely and accurate provision of medications to patients. Routine technician functions are performed under the direct supervision of a pharmacist. These functions may include unit dose dispensing, intravenous...


  • Grove City, OH, United States Mount Carmel Health System Full time

    Employment Type: Full time Shift: Evening Shift Description: About the job:The Certified Pharmacy Tech II, will assist the pharmacist in assuring timely and accurate provision of medications to patients. Routine technician functions are performed under the direct supervision of a pharmacist. These functions may include unit dose dispensing, intravenous...


  • Grove City, OH, United States Mount Carmel Health System Full time

    Employment Type:Full timeShift:Evening ShiftDescription:About the job:The Certified Pharmacy Tech II, will assist the pharmacist in assuring timely and accurate provision of medications to patients. Routine technician functions are performed under the direct supervision of a pharmacist. These functions may include unit dose dispensing, intravenous admixing,...


  • Grove City, OH, United States Mount Carmel Health System Full time

    Employment Type:Full timeShift:Evening ShiftDescription:About the job:The Certified Pharmacy Tech II, will assist the pharmacist in assuring timely and accurate provision of medications to patients. Routine technician functions are performed under the direct supervision of a pharmacist. These functions may include unit dose dispensing, intravenous admixing,...


  • Iowa City, Iowa, United States Ballad Health Full time

    Job Summary:The Pharmacy Technician III will work under the supervision of a licensed Pharmacist to perform procedures and duties related to the service's Scope of Care. This includes specialized sterile IV compounding and special project assignments. The ideal candidate will be flexible, detail-oriented, and able to work as part of a team.Key...