Medical Director - Pharmacy

A company is looking for a Medical Director - Pharmacy - Remote.

Key Responsibilities

Review and approve pharmacist denials for outpatient medication requests and conduct coverage reviews based on medical cases

Collaborate with Clinical Coverage Review staff to evaluate service requests and provide support to nurses and pharmacists

Communicate with network and non-network providers to ensure accurate benefit determinations and educate them on benefit plans

Required Qualifications

Active, unrestricted physician license

5+ years of clinical practice experience after completing residency training

Substantial experience in using electronic clinical systems

Solid belief in Evidence Based Medicine and familiarity with current medical issues and practices

PC skills, specifically using MS Word, Outlook, and Excel