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
Clinical Pharmacist • New Orleans, Louisiana, United States