Pharmacist
Are you an experienced Pharmacist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the Pharmacist position for you!
Daily Responsibilities of a Pharmacist:
• Provide timely drug therapy for Medicaid health plan members by processing prior authorization and medical necessity requests for specialty medications
• Review specialty medication prior authorization requests (i.e. biopharmaceuticals) according to established treatment protocols, clinical criteria and member benefits. and make coverage determinations within the defined turnaround times and meet regulatory requirements
• Responsible for clinical criteria for specialty medications including analysis, monitoring of industry trends and develop criteria recommendations for Pharmacy and Therapeutics Committee and clients
• Define and coordinate prior authorization and drug utilization reviews reports for clients and ensure regulatory reporting requirements for drug utilization review and fraud and abuse reporting are met
• Oversee the drug utilization review and medication therapy management programs for specialty medications at the assigned plan to meet regulatory requirements and develop systematic reviews of prescription claims to meet strategic initiatives
• Several years of pharmacy experience in retail, hospital, or managed care setting
• Bachelors or advanced degree in pharmacy
• Prefers licensures in Texas, Mississippi, or Georgia
• Specialty experience preferred but not a must
Hours for this Position:
• 9 AM to 6 PM or 10 AM to 7 PM (40 hours a week)
Advantages of this Opportunity:
• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
• Right to Hire opportunity
• Can start as early as next week
Interested in being considered?
If you are interested in applying to this position, please contact MJ Basan (321) 422-3761 and click the Green I’m Interested Button to email your resume.