Clinical - Clinical Pharmacist 1 - 210392

Job Description : Job Profile Summary

Position Purpose : Define and develop standard and custom formularies for assigned plan.

Education / Experience : Bachelor s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

Licenses / Certifications : Current state s Pharmacist license with no restrictions.

Responsibilities

" Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated

" Monitor prior authorization requests

" Provide clinical support to internal departments and address clinical related questions

" Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy / practice

" Develop and implement programs designed to impact DUR for both Medicaid and Medicare

" Develop, implement, and maintain policies and procedures for the pharmacy department

" Participate in the coordination of the Medicare MTM program

" Assist case management team with members including clinical rounds presentations