Job Description
Position Title : Z TEMP - Clinical Pharmacist
Location : Full Office (Onsite)
Department : Pharmacy Management
Work Arrangement : Full-Time | Onsite
About the Opportunity
BuzzClan is seeking a qualified and experienced Z TEMP - Clinical Pharmacist to join our team in partnership with CalOptima Health. This is an excellent opportunity for a dedicated professional to make an impact in managed care pharmacy and play a key role in ensuring optimal medication use and member care.
As a Clinical Pharmacist, you will be part of a mission-driven team committed to improving health outcomes for members by applying clinical expertise, collaborating with healthcare providers, and supporting quality initiatives like HEDIS, MTM, and DUR / DUE programs.
Key Duties & Responsibilities
Pharmacy Management (95%)
- Support department goals with a strong focus on service quality, member dignity, and consistency.
- Analyze claims and utilization data to track trends and identify opportunities for utilization management.
- Develop and update drug utilization criteria and participate in drug policy development.
- Engage in clinical quality improvement programs, including Stars, HEDIS, MTM, and polypharmacy initiatives.
- Review medication profiles and make evidence-based recommendations to providers.
- Participate in interdisciplinary care teams and serve as a plan representative in state fair hearings.
- Handle complaints, grievances, and appeals related to medication therapy.
- Conduct reviews of drug prior authorizations and appeals according to regulatory and clinical guidelines.
- Prepare drug monographs and utilization reports for the Pharmacy & Therapeutics (P&T) committee.
- Collaborate with internal teams on disease management and outcomes-based projects.
- Ensure regulatory compliance with CMS, DHCS, DMHC, and NCQA standards.
Other Duties (5%)
Perform other assigned projects or responsibilities as needed.Minimum Qualifications
Education : Doctor of Pharmacy (PharmD) degree OR an equivalent combination of education and experience sufficient to perform essential job functions.License : Valid, unrestricted California Registered Pharmacist license.Preferred Qualifications
Residency in pharmacy practice or equivalent clinical experience.Experience with CMS, DHCS, DMHC, or NCQA audits.Multilingual (English + Arabic, Chinese, Farsi, Korean, Russian, Spanish, or Vietnamese).Skills & Competencies
Strong communication, analytical, and project management skills.Ability to independently prioritize tasks and work in a fast-paced environment.Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint).Ability to collaborate effectively with both internal teams and external healthcare providers.Physical Requirements
Must be able to sit, type, and communicate clearly for extended periods.Occasional lifting (10–25 pounds) and ability to navigate between office and clinical environments.Visual, auditory, and manual dexterity required.Work Environment
Office-based role : Indoor, moderate noise levels, regular business hours with flexibility for some evening / weekend work.May require travel to provider sites, community events, or hearings.PACE or community-based assignments may involve clinical settings and outdoor environments.Why Join BuzzClan?
At BuzzClan, we connect talented professionals with meaningful roles across industries. Our people-first approach ensures that we support both our clients and our candidates every step of the way. Join us and be part of a team that makes a difference in healthcare delivery and outcomes.