Clinical Pharmacist

2 months ago

North Kingstown, United States ConsultNet Full time

The Pharmacist is responsible for the execution of clinical services in support of our clients Rx initiatives. Certified, highly motivated, experienced pharmacist who effectively communicates with members, clients, and providers regarding pharmacy benefits and clinical administration. This includes, ensuring that members get overrides processed in a timely fashion and that all plans process correctly. Ensures compliance with all CMS guidelines for Medicare Part D.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

  • Prior authorizations, formulary maintenance, drug utilization review, and building and maintaining drug rules for various Commercial and Medicare Part D clients.
  • Gathering and building drug rule specific information for implementations
  • coordination and research of drug information for new clinical programs and initiatives, newsletters, etc.
  • drug use evaluation
  • assisting Call Center staff in situations where clinical input is needed
  • providing clinical information to Commercial and Med D clients as appropriate; and executing clinical initiative programs as assigned.


QUALIFICATIONS

Working knowledge of managed care pharmacy services and Coverage Determination workflows is required. Thorough understanding of Medicare Part D regulations is also required. Previous experience in clinical information coordination and excellent writing skills are preferred.

EDUCATION and/or EXPERIENCE

Bachelor of Science Degree in Pharmacy or PharmD
Minimum of 2 years of experience working as a retail pharmacist preferred
3 years of experience in the Clinical Services Department of a PBM
Pharm D and working knowledge of managed care pharmacy, preferred

CERTIFICATES, LICENSES, REGISTRATIONS

RPh or PharmD Credential

Welcome to ConsultNet and the family of companies, Tekne, SaltClick, TechBridge, and OmniMedia. As a premier national provider of technology talent and solutions, our expertise spans across project services, contract-to-hire, direct placement, and managed services both onshore and nearshore.

Celebrating more than 25 years of partnership with a diverse client base, we've crafted rewarding opportunities for our consultants, fostering high-performing teams that deliver impactful results.

Over the last few years thousands of consultants have found their calling with us in roles that have made a meaningful impact on their lives, enhanced their career, challenged them, and propelled them towards achieving their personal and professional goals. At the ConsultNet family of companies, we believe effective communication is crucial in aligning the right job with your unique skills and professional aspirations. To us, it's all about the personal approach we take and the values we uphold.

Our comprehensive service offerings cover a wide range of technology positions across key markets nationwide. Client more at www.consultnet.com .

We champion equality and inclusivity, proudly supporting an Equal Opportunity Employer policy. We welcome applicants regardless of Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other status protected by law.



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