Staff Utilization Management Clinical Pharmacist (VSP/PT)
Core
Clinical pharmacist completing medical necessity reviews and comprehensive medication reviews for prescriptions requiring pre-authorization.
Role type
Staff Utilization Management Clinical Pharmacist
Builds
Pre-authorization decisions for prescription medications
Domain
Healthcare / Pharmacy Benefit Management
Required skills
Doctor of Pharmacy (Pharm.D.), Active pharmacist license, Federal prescription program eligibility, Clinical decision support tools, Pharmacy benefit management platforms, Electronic health records
Preferred skills
Managed care pharmacy experience, Utilization management review experience
Responsibilities
Completing medical necessity reviews, Conducting comprehensive medication reviews, Interpreting clinical data for pre-authorization decisions, Working independently and in teams
Seniority
Staff, hands-on IC