Licensed Pharmacist Lead

A company is looking for a Pharmacist Lead (Contingent).

Key Responsibilities

Serve as key personnel for oversight activities related to Medicare Advantage and other health care organization contracts

Facilitate and manage assigned projects and contracts, ensuring contract specifications are understood and tasks are appropriately assigned

Act as a Subject Matter Expert for Coverage Determination, Appeals and Grievances, and Organizational Determinations

Required Qualifications

Registered pharmacist with a Bachelor's degree in pharmacy; Master's degree or PharmD preferred

Three to five years of experience in retail, health-systems, consulting, industry, or academia

Strong knowledge of FDA laws, CMS regulations, DEA laws, and pharmacy benefit managers

Experience with clinical reviews, drug invoice reconciliation, and pharmacy audits

Familiarity with drug compendia and related databases