Clinical - Clinical Pharmacist 1 - 210392

Job Description : Job Profile Summary

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

Education / Experience : Bachelor s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ 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