Talent.com
Clinical Service Center Pharmacist - Remote After Training in Troy, Ohio

Clinical Service Center Pharmacist - Remote After Training in Troy, Ohio

Remedi SeniorCareTroy, OH, US
Hace 27 días
Tipo de contrato
  • A tiempo completo
  • Teletrabajo
Descripción del trabajo

Description

At Clarest Health, we are dedicated to transforming patient care by providing innovative and efficient pharmacy services to healthcare facilities. Our commitment to excellence ensures that our automated dispensing solutions streamline medication management, improve patient outcomes, and enhance the overall efficiency of healthcare operations. As a part of the Clarest Health team, you'll be contributing to a mission-driven organization that is redefining the future of pharmacy services and making a meaningful impact on the lives of patients and healthcare professionals across the nation.

The Clinical Service Center Pharmacist works in collaboration with the Director, Clinical Service Center to execute day-to-day operational needs, including clinical review of rejected claims, recommending clinically appropriate covered alternative medication, overseeing the processing of Automatic Therapeutic Interchange (ATI) recommendations and meeting the requirements of the Clinical Service Center. Adheres to the company’s quality and customer service standards, policies and procedures, and state and federal guidelines in the LTC pharmacy to ensure quality production, work flow and achieving operational goals and objectives.

Location : Remote after approximately 6 weeks of training. On-site training at 962 Dorset Rd, Troy, Oh 45373

Salary : $100,000 - $109,000 Annual Salary

Schedule : Monday – Friday 3PM – 11PM, every eight weekend (Sat-Sun 10AM – 6PM) with Friday prior and Monday After Off. Off All Company Holidays

What We Offer :

  • Comprehensive Medical, Dental and Vision Insurance (as low as $13.33 / pay)
  • Paid Time Off
  • Free Virtual Care – Telemedicine
  • 401k with company match
  • Closed-door Pharmacy – No more face-to-face meetings with customers
  • Referral Bonuses
  • Life Insurance
  • Make a difference in the lives of others!
  • We are growing and that means more opportunities

Key Responsibilities :

  • Responsible for oversight clinical claim reject activity
  • Make appropriate clinically comparable, formulary alternative recommendations
  • Review approve clinical documentation associated with prior authorization submissions
  • Provides CSC Technicians instructions regarding actions to be taken when working with insurance plans and internal / external customers to take steps toward rejected claims resolution
  • Works in conjunction with other LTC departments ensuring achieving daily volume, quality and service goals
  • Communicates with customers, insurance companies and internal pharmacy staff to effectively and appropriately resolve rejected clinical claims
  • Maintains organized record of CSC documentation related to ATI or claims management
  • Applies superior customer service skills when working with both internal and external customers
  • Works in collaboration with the CSC Technicians and Director to meet department goals and objectives.
  • Provides assistance in the development, deployment and management of department and customer supported initiatives
  • Assists with ensuring safety practices and procedures are adhered to and practiced.
  • Enforces all company and departmental policies and procedures.
  • Complies with all applicable state and federal regulations related to pharmacy practices.
  • Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; talks and acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
  • Perform related duties and special projects as required or assigned.
  • Participates in special projects to identify and implement operational improvements. Ability to work with others in a positive productive manner anticipates and responds to the positions areas of responsibilities. Contribute to a positive work environment and overall team effort.
  • Actively contributes to the evaluation and continuous improvement of LTC pharmacy services, policies and procedures.
  • Other duties as assigned or directed
  • The ability to adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer
  • Qualifications :

  • Degree in Pharmacy
  • Registered with the Ohio State Board of Pharmacy as a Pharmacist and in good standing
  • Excellent interpersonal skills and well-developed verbal and written communication skills with English as the primary language.
  • Ability to work independently as well as working in a team environment, meets deadlines, establish priorities, and be flexible, work under pressure with multiple tasks. Must have strong organizational, customer service, and time management skills, ability to problem solve.
  • Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.

    Crear una alerta de empleo para esta búsqueda

    Clinical Pharmacist • Troy, OH, US

    Ofertas relacionadas
    • Oferta promocionada
    Certified Pharmacy Technician

    Certified Pharmacy Technician

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Pharmacy Services Technician.Key Responsibilities Coordinate daily pharmacy benefits and assist with pharmacy claims inquiries Research and resolve benefit and claims-...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Rhode Island Licensed Pharmacist

    Rhode Island Licensed Pharmacist

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Remote Pharmacist.Key Responsibilities Review and complete prior authorization criteria based on policy and procedure Enter prescriptions into the computer and assist ...Mostrar másÚltima actualización: hace 24 días
    • Oferta promocionada
    Clinical Pharmacist (State Licensed)

    Clinical Pharmacist (State Licensed)

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Clinical Pharmacist.Key Responsibilities Facilitate case review process for prior authorizations and provide clinical input Synthesize treatment opinions based on evid...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Texas Licensed Pharmacy Technician

    Texas Licensed Pharmacy Technician

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Certified Pharmacy Technician.Key Responsibilities Receive and respond to prescription refill requests through various communication channels Verify the validity and a...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Reserve Pharmacist

    Reserve Pharmacist

    United States ArmyBeaver Creek, OH, United States
    A tiempo completo
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    State Licensed Pharmacy Technician

    State Licensed Pharmacy Technician

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Pharmacy Care Technician to support clinical services in a remote call center environment.Key Responsibilities Schedule pharmacist consultation appointments with member...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Massachusetts Licensed Pharmacy Technician

    Massachusetts Licensed Pharmacy Technician

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Certified Pharmacy Technician - Flex.Key Responsibilities Accurately enter new and refill prescriptions, adjudicate insurance claims, and resolve rejections or order ex...Mostrar másÚltima actualización: hace 20 días
    • Oferta promocionada
    Registered Pharmacist - TX, AZ, NH, FL

    Registered Pharmacist - TX, AZ, NH, FL

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Clinical Customer Care Staff Pharmacist (Day Shifts).Key Responsibilities Engage with customers regarding clinical issues such as drug interactions and medication couns...Mostrar másÚltima actualización: hace 29 días
    • Oferta promocionada
    Pharmacy Consultant - State Licensed

    Pharmacy Consultant - State Licensed

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Senior Clinical Consultant, Pharmacy Advisory Services - Remote.Key Responsibilities Perform ongoing horizon scanning and document emerging disruptive technologies Dev...Mostrar másÚltima actualización: hace 2 días
    • Oferta promocionada
    Medication Aid - Certified

    Medication Aid - Certified

    United Church HomesBeavercreek, OH, United States
    A tiempo completo
    Trinity Community at Beavercreek.Under supervision of the Registered Nurse (RN) or the Licensed Practical Nurse (LPN), provides resident care in accordance with the Ohio Nurse Practice Act.The Medi...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    State Licensed Pharmacist

    State Licensed Pharmacist

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Pharmacist to work remotely in the USA.Key Responsibilities Review patient profiles and identify prescriptions requiring physician clarification Dispense prescription ...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Registered Staff Pharmacist (AZ, FL, NH, TX)

    Registered Staff Pharmacist (AZ, FL, NH, TX)

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Clinical Customer Care Staff Pharmacist for overnight shifts.Key Responsibilities Engage with customers regarding clinical issues, including drug interactions and medic...Mostrar másÚltima actualización: hace 1 día
    • Oferta promocionada
    Licensed Clinical Pharmacist

    Licensed Clinical Pharmacist

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Clinical Pharmacist, Utilization Management (Part B Drugs).Key Responsibilities Review prior authorization requests for drugs and biologics under Part B benefits Evalu...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    Pharmacy Member Services Representative

    Pharmacy Member Services Representative

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Pharmacy Member Services Representative to support members of the Prescription Plan.Key Responsibilities Perform patient outreach and education, manage data entry, and ...Mostrar másÚltima actualización: hace 1 día
    • Oferta promocionada
    Pharmacy Technician Prior Authorization

    Pharmacy Technician Prior Authorization

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Prior Authorization Specialist to manage the initiation and processing of prior authorization requests. Key Responsibilities Initiate, process, and oversee clinical revi...Mostrar másÚltima actualización: hace 1 día
    • Oferta promocionada
    State Licensed Clinical Pharmacist

    State Licensed Clinical Pharmacist

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Pharmacist to deliver patient-focused health coaching and chronic disease management.Key Responsibilities Deliver patient-centric health coaching that integrates medica...Mostrar másÚltima actualización: hace más de 30 días
    • Oferta promocionada
    • Nueva oferta
    Delaware Licensed Pharmacist

    Delaware Licensed Pharmacist

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Pharmacist, Medication Management, Remote.Key Responsibilities Leverage data to identify patients not meeting quality measures and collaborate with practices to overcom...Mostrar másÚltima actualización: hace 16 horas
    • Oferta promocionada
    Pharmacy Prior Authorization Specialist

    Pharmacy Prior Authorization Specialist

    VirtualVocationsDayton, Ohio, United States
    A tiempo completo
    A company is looking for a Prior Authorization Specialist to manage the initiation and submission of prior authorizations for medications and supplies. Key Responsibilities Initiate, process, and ...Mostrar másÚltima actualización: hace 13 días
    Pharmacy Medication Assistance Counselor- 340B Clinic - Miamisburg - FT / Days

    Pharmacy Medication Assistance Counselor- 340B Clinic - Miamisburg - FT / Days

    Kettering Health NetworkMiamisburg, Ohio, United States, 45342
    A tiempo completo
    Pharmacy Medication Assistance Counselor- 340B Clinic - Miamisburg - FT / Days.Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southw...Mostrar másÚltima actualización: hace 13 días
    • Oferta promocionada
    Pharmacy Technician II - Rx Solutions Center - Hybrid

    Pharmacy Technician II - Rx Solutions Center - Hybrid

    CareSourceDayton, OH, United States
    A tiempo completo
    Outside of Dayton area may be considered for remote.RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaigns. This role will require collaboration...Mostrar másÚltima actualización: hace más de 30 días