Licensed Clinical Care Pharmacist

A company is looking for a Clinical Care Pharmacist - Medicare.

Key Responsibilities

Review and make evidence-based decisions on prior authorizations, appeals, and override requests

Ensure compliance with regulations across various health plans and maintain thorough documentation

Provide support to members, prescribers, and pharmacies while staying current with clinical guidelines and policies

Required Qualifications

Active, unrestricted pharmacist license

Bachelor's or Doctor of Pharmacy degree

Minimum of 2 years of pharmacy practice experience

Experience in managed care or pharmacy benefit management (PBM)

Availability to work after hours, weekends, and holidays on a rotating schedule