Clinical - Clinical Pharmacist 1 - 210392

Job Profile Summary
Position Purpose: Define and develop standard and custom formularies for assigned plan.



Education/Experience: Bachelor’s degree or advanced degree (, in pharmacy. + years of mail order, retail, hospital or managed care pharmacy experience or + years of pharmacy residency program experience.



Licenses/Certifications: Current state’s Pharmacist license with no restrictions.



Responsibilities

• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated

• Monitor prior authorization requests

• Provide clinical support to internal departments and address clinical related questions

• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice

• Develop and implement programs designed to impact DUR for both Medicaid and Medicare

• Develop, implement, and maintain policies and procedures for the pharmacy department

• Participate in the coordination of the Medicare MTM program

• Assist case management team with members including clinical rounds presentations



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