Clinical Pharmacist (Remote in Arizona or New Mexico)
Core
Administer and manage pharmacy programs, including disease state formulary systems, utilization management, specialty pharmacy, and medication therapy management to improve drug therapy quality and cost-effectiveness.
Role type
Senior Clinical Pharmacist (Managed Care)
Builds
Disease state formulary systems, utilization management programs, and clinical optimization initiatives for Medicare programs.
Domain
Healthcare / Pharmacy Benefit Management (PBM) / Medicare
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medication therapy management, Utilization management, Disease state formulary design, Pharmacoeconomics, Quality improvement processes, Practice guidelines knowledge, Computer data entry
Preferred skills
Managed care experience, Pharmacy Benefit Management (PBM) experience, Medicare Stars program knowledge, Population-health pharmacy programs, Residency training, MTM experience, Specialty pharmacy management
Technologies
Relational database software, Spreadsheet software, Word processing software, Pharmacy claims systems
Responsibilities
Develop and implement disease state formulary systems, Manage utilization programs, Oversee specialty pharmacy operations, Execute medication therapy management programs, Coordinate with ambulatory care providers, Perform computer data entry for long periods
Seniority
Senior, hands-on IC
