Talent.com
Clinical Service Center Pharmacist - Remote After Training in Troy, Ohio

Clinical Service Center Pharmacist - Remote After Training in Troy, Ohio

Remedi SeniorCareTroy, OH, US
27 days ago
Job type
  • Full-time
  • Remote
Job description

Description

At Clarest Health, we are dedicated to transforming patient care by providing innovative and efficient pharmacy services to healthcare facilities. Our commitment to excellence ensures that our automated dispensing solutions streamline medication management, improve patient outcomes, and enhance the overall efficiency of healthcare operations. As a part of the Clarest Health team, you'll be contributing to a mission-driven organization that is redefining the future of pharmacy services and making a meaningful impact on the lives of patients and healthcare professionals across the nation.

The Clinical Service Center Pharmacist works in collaboration with the Director, Clinical Service Center to execute day-to-day operational needs, including clinical review of rejected claims, recommending clinically appropriate covered alternative medication, overseeing the processing of Automatic Therapeutic Interchange (ATI) recommendations and meeting the requirements of the Clinical Service Center. Adheres to the company’s quality and customer service standards, policies and procedures, and state and federal guidelines in the LTC pharmacy to ensure quality production, work flow and achieving operational goals and objectives.

Location : Remote after approximately 6 weeks of training. On-site training at 962 Dorset Rd, Troy, Oh 45373

Salary : $100,000 - $109,000 Annual Salary

Schedule : Monday – Friday 3PM – 11PM, every eight weekend (Sat-Sun 10AM – 6PM) with Friday prior and Monday After Off. Off All Company Holidays

What We Offer :

  • Comprehensive Medical, Dental and Vision Insurance (as low as $13.33 / pay)
  • Paid Time Off
  • Free Virtual Care – Telemedicine
  • 401k with company match
  • Closed-door Pharmacy – No more face-to-face meetings with customers
  • Referral Bonuses
  • Life Insurance
  • Make a difference in the lives of others!
  • We are growing and that means more opportunities

Key Responsibilities :

  • Responsible for oversight clinical claim reject activity
  • Make appropriate clinically comparable, formulary alternative recommendations
  • Review approve clinical documentation associated with prior authorization submissions
  • Provides CSC Technicians instructions regarding actions to be taken when working with insurance plans and internal / external customers to take steps toward rejected claims resolution
  • Works in conjunction with other LTC departments ensuring achieving daily volume, quality and service goals
  • Communicates with customers, insurance companies and internal pharmacy staff to effectively and appropriately resolve rejected clinical claims
  • Maintains organized record of CSC documentation related to ATI or claims management
  • Applies superior customer service skills when working with both internal and external customers
  • Works in collaboration with the CSC Technicians and Director to meet department goals and objectives.
  • Provides assistance in the development, deployment and management of department and customer supported initiatives
  • Assists with ensuring safety practices and procedures are adhered to and practiced.
  • Enforces all company and departmental policies and procedures.
  • Complies with all applicable state and federal regulations related to pharmacy practices.
  • Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; talks and acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
  • Perform related duties and special projects as required or assigned.
  • Participates in special projects to identify and implement operational improvements. Ability to work with others in a positive productive manner anticipates and responds to the positions areas of responsibilities. Contribute to a positive work environment and overall team effort.
  • Actively contributes to the evaluation and continuous improvement of LTC pharmacy services, policies and procedures.
  • Other duties as assigned or directed
  • The ability to adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer
  • Qualifications :

  • Degree in Pharmacy
  • Registered with the Ohio State Board of Pharmacy as a Pharmacist and in good standing
  • Excellent interpersonal skills and well-developed verbal and written communication skills with English as the primary language.
  • Ability to work independently as well as working in a team environment, meets deadlines, establish priorities, and be flexible, work under pressure with multiple tasks. Must have strong organizational, customer service, and time management skills, ability to problem solve.
  • Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.

    Create a job alert for this search

    Clinical Pharmacist • Troy, OH, US

    Related jobs
    • Promoted
    Oregon Licensed Pharmacy Technician

    Oregon Licensed Pharmacy Technician

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Prior Authorization Pharmacy Technician - Remote.Key Responsibilities Handle inbound and outbound calls related to prior authorization requests and provider inquiries ...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Pharmacist (State Licensed)

    Clinical Pharmacist (State Licensed)

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Clinical Pharmacist.Key Responsibilities Facilitate case review process for prior authorizations and provide clinical input Synthesize treatment opinions based on evid...Show moreLast updated: 30+ days ago
    • Promoted
    Arizona Licensed Clinical Service Representative

    Arizona Licensed Clinical Service Representative

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Clinical Service Representative who will provide professional phone assistance and support prior authorization processes. Key Responsibilities Handle inbound calls from ...Show moreLast updated: 1 day ago
    • Promoted
    Remote Health Care Customer Service

    Remote Health Care Customer Service

    VirtualVocationsDayton, Ohio, United States
    Remote
    Full-time
    A company is looking for a Health Care Customer Service Representative.Key Responsibilities Handle inbound and outbound calls to resolve billing and payment issues Provide information to patient...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Experience Representative

    Patient Experience Representative

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Patient Experience Representative (Customer Experience Representative) to provide support in a remote setting. Key Responsibilities Serve as the first point of contact f...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Device Customer Service Representative

    Medical Device Customer Service Representative

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Medical Device Customer Service Representative to support customer inquiries and requests in a remote setting. Key Responsibilities Process customer orders and manage or...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Healthcare Call Center Representative

    Remote Healthcare Call Center Representative

    VirtualVocationsDayton, Ohio, United States
    Remote
    Full-time
    A company is looking for a Remote Healthcare Call Center Representative.Key Responsibilities Manage incoming calls regarding healthcare benefits, including Medicare enrollments and claims Provid...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Texas Licensed Pharmacy Customer Service

    Texas Licensed Pharmacy Customer Service

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Remote Pharmacy Customer Service Representative.Key Responsibilities Answer incoming calls and assist customers, pharmacies, and doctor offices Research information in...Show moreLast updated: 8 hours ago
    • Promoted
    Pharmacy Consultant - State Licensed

    Pharmacy Consultant - State Licensed

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Senior Clinical Consultant, Pharmacy Advisory Services - Remote.Key Responsibilities Perform ongoing horizon scanning and document emerging disruptive technologies Dev...Show moreLast updated: 1 day ago
    • Promoted
    Patient Balance Customer Service Representative

    Patient Balance Customer Service Representative

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Patient Balance Customer Service Representative.Key Responsibilities Responds to incoming calls to assist patients and resolve billing and payment issues Processes pay...Show moreLast updated: 2 days ago
    • Promoted
    Registered Staff Pharmacist (AZ, FL, NH, TX)

    Registered Staff Pharmacist (AZ, FL, NH, TX)

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Clinical Customer Care Staff Pharmacist for overnight shifts.Key Responsibilities Engage with customers regarding clinical issues, including drug interactions and medic...Show moreLast updated: 1 day ago
    • Promoted
    Licensed Clinical Pharmacist

    Licensed Clinical Pharmacist

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Clinical Pharmacist, Utilization Management (Part B Drugs).Key Responsibilities Review prior authorization requests for drugs and biologics under Part B benefits Evalu...Show moreLast updated: 30+ days ago
    • Promoted
    Certified Medication Technician CMT

    Certified Medication Technician CMT

    CommuniCare CorporateDayton, OH, US
    Full-time
    Certified Medication Technician (CMT).Wood Glen Alzheimer's Community, a member of the CommuniCare Family of Companies, is currently recruiting for Certified Medication Technician (CMT) to join our...Show moreLast updated: 30+ days ago
    • Promoted
    Pharmacy Member Services Representative

    Pharmacy Member Services Representative

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Pharmacy Member Services Representative to support members of the Prescription Plan.Key Responsibilities Perform patient outreach and education, manage data entry, and ...Show moreLast updated: 1 day ago
    • Promoted
    Pharmacy Technician Prior Authorization

    Pharmacy Technician Prior Authorization

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Prior Authorization Specialist to manage the initiation and processing of prior authorization requests. Key Responsibilities Initiate, process, and oversee clinical revi...Show moreLast updated: 1 day ago
    • Promoted
    Arizona Licensed Staff Pharmacist

    Arizona Licensed Staff Pharmacist

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Staff Pharmacist (Overnight Shifts).Key Responsibilities Maintain comprehensive customer profiles and evaluate physician medication orders for appropriateness Operate ...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Service Specialist - California

    Patient Service Specialist - California

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Patient Service Specialist in the OB / Perinatology department.Key Responsibilities Interact with patients, payers, and providers for accurate registration and check-in p...Show moreLast updated: 1 day ago
    • Promoted
    Walmart Pharmacy Technician

    Walmart Pharmacy Technician

    TradeJobsWorkforce45431 Beavercreek, OH, US
    Full-time
    Now hiring an experienced Walmart Pharmacy Technician to fill prescriptions, manage inventory, and assist with customer questions. Interact with customers and colleagues in a professional manner.Int...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Delaware Licensed Pharmacist

    Delaware Licensed Pharmacist

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Pharmacist, Medication Management, Remote.Key Responsibilities Leverage data to identify patients not meeting quality measures and collaborate with practices to overcom...Show moreLast updated: 10 hours ago
    • Promoted
    • New!
    Claims Analyst for Specialty Pharmacy

    Claims Analyst for Specialty Pharmacy

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Specialty & Home Delivery Program Claims Analyst - Remote.Key Responsibilities Serve as a subject matter expert on Home Delivery and Specialty pharmacy partners and Pha...Show moreLast updated: 10 hours ago