Pharmacist - Health Plan
1 week ago
Job ID #1987804
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About this Role
As a Pharmacist, you play a vital role in promoting safe, effective, and cost-efficient medication use while supporting the overall goals of the health plan in improving member health outcomes.
Job details
$60.00 / hour
Morrisville, North Carolina
Profession: Pharmacist
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 12/22/2025
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Responsibilities
Condut activities to ensure safe and cost-effective medication use. This involves monitoring medication patterns, identifying potential misuse or overuse, and implementing interventions as needed
Participate in quality improvement initiatives aimed at enhancing medication-related outcomes, such as medication adherence and safety.
Educate healthcare providers within the network about the health plan's formulary, coverage policies, and medication-related initiatives to ensure alignment with best practices and optimize patient care.
Review medication requests that require prior authorization to ensure they meet clinical criteria for coverage. This involves assessing the appropriateness of the medication based on medical guidelines and making coverage decisions accordingly.
Develop and manage the formulary, which is the list of medications covered by the health plan
Required Qualifications
Active Registered Pharmacist License
2 years of experience as a Pharmacist
1 year within a Managed Care setting
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