Job description

Title: Pharmacist- Specialty Pharmacy Advisor

Location: Remote

Job Type: Contract

Primary Responsibilities:

• Serve as a subject matter expert in specialty pharmacy drugs covered under the medical benefit including but not limited to sodium hyaluronate, inflammatory, intravenous immunoglobulin and multiple sclerosis drugs
• Perform utilization review determinations (approval / denials) in an expedited fashion to meet federally mandated turn-around-times of 24 & 72 hours depending on urgency
• Engage & collaborate with treating providers telephonically. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense

Required Qualifications:

• Active, unrestricted Pharmacy licensed in their state
• 1+ years of Specialty Pharmacy experience in clinical practice setting
• Experience working with evidence-based medicine related to interpretation of client’s drug policy

Preferred Qualifications:

• Experience in one or more of the following: in managed care, medical care delivery systems, utilization management, case management, disease management, quality management, product development and/or peer reviews preferred.
• Proven ability to quickly gain credibility, influence, and partner with staff and the clinical community

Job Type: Contract

Salary: $40.00 - $60.00 per hour

Schedule:

• 8 hour shift

Experience:

• Pharmacy: 1 year (Required)

License/Certification:

• Registered Pharmacist (Preferred)
• Licensed Pharmacist (Required)

Work Location: Remote

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