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Clinical Pharmacist- REMOTE

at Prime Therapeutics in Springfield, Illinois, United States

Job Description

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Clinical Pharmacist- REMOTE

Job Description Summary

Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding the use of pharmaceutical treatment regimens. Complies with all corporate and facility standard operating procedures, policies, guidelines, and work instructions.

Job Description

+ Job Description Summary

Responsible for supporting the development of Medical Pharmacy program strategy as a part of the Medical Pharmacy team. As a member of the clinical strategy team, the Clinical Pharmacist is responsible for various projects to support assigned clients including but not limited to, clinical research, data analysis, content development and resource maintenance in support of health plan clients. The Clinical Pharmacist will be an integral part of the client account team and work closely with SCSL, AE/AM and BD leads.

Hiring Requirements

+ Job Description

+ Support the Medical Pharmacy team in developing and producing pipeline, forecasting, trend, strategy, and Medical Pharmacy program specific materials for health plan clients.

+ Support the Medical Pharmacy team in managing supportive resources for all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service, and any additional programs.

+ Work with analytics team to provide business rules and develop new drug to market cost impact analyses for health plan clients.

+ Evaluate and identify opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiatives.

+ Actively work to support preparation and delivery of reporting and quarterly meeting materials.

+ Work internally to support client requests and issue resolution as part of the account team

+ Support the development and production of Medical Pharmacy Trend Report.

+ Support the development, production, and monitoring of Specialty Pharmacy Pipeline Report.

+ Communicate and collaborate effectively with all internal stakeholders.

+ Other Requirements

+ At least 1-3 years of pharmacy, managed care and/or pharmaceutical industry experience

+ Managed Care Pharmacy Residency experience preferred.

+ Requires a functional level understanding of the pharmacy industry including health plan/PBM relationship and drugs paid for on the medical vs. pharmacy benefit.

+ Strong interpersonal, consultation, organizational, tracking and follow-up skills.

+ Excellent verbal and written communication skills.

+ Data review and interpretation skills required.

+ Must possess RPh or PharmD license in good standing.

Responsibilities

Strong drug product and clinical pharmacy knowledge.License must be current and in good standing.

Work Experience

Work Experience – Required:

Pharmacy

Work Experience – Preferred:

Education

Education – Required:

Bachelors – Pharmacy

Education – Preferred:

PharmD – Pharmacy

Certifications

Certifications – Required:

RPH – Registered Pharmacist – Pharmacy – Pharmacy

Certifications – Preferred:

PharmD – Doctor Of Pharmacy, State Licensure – Pharmacy – Pharmacy

Potential pay for this position ranges from $95,840.00 – $162,920.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the “Benefits at a glance” button for more detail.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

Prime Therapeutics’ fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today’s health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people’s lives.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ? If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

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Job Posting: JC241199412

Posted On: Jun 01, 2023

Updated On: Jun 14, 2023

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