Clinical Pharmacist - Specialty
Core
Guide specialty members on medication management and disease states via phone, chat, and email to provide a concierge experience.
Role type
Specialty clinical pharmacist (member services)
Builds
Member engagement and medication management workflows for a PBM
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
Specialty drug experience, clinical assessment, drug utilization review, medication regimen management, patient assistance program enrollment, regulatory compliance, third-party collaboration
Preferred skills
PharmD, Managed Care or specialty pharmacy residency, multi-state licensure
Technologies
Rightway app, chat function, email, phone
Responsibilities
Engage with specialty members via phone, chat, and email; assist in enrolling members in copay/patient assistance programs; perform prospective/retrospective drug utilization reviews and comprehensive medication reviews; support prior authorization review process; contribute to Pharmacy & Therapeutics process including drug monograph research and clinical policy development; collaborate with Navigation team and third-parties.
Seniority
Mid-level, hands-on IC