Temporary – Clinical Pharmacist at Orange, CA
Aroha TechnologiesOrange, CA, United Statesjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionComplete additional duties and special projects as assigned. Doctor of Pharmacy (PharmD) degree. Current knowledge and expertise in clinical pharmacology and disease states. Active, valid, and unrestricted California Registered Pharmacist License . Audit experience with CMS, DHCS, DMHC, or NCQA. Experience in pharmacy practice or residency. Bilingual in one of CalOptima Health's threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese). Strong interpersonal skills to build relationships across diverse stakeholders. Excellent communication (oral and written), organizational, and problem-solving skills. Ability to manage multiple projects in a fast-paced environment. Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint) and pharmacy-related software. Leadership skills to motivate teams and participate in committees.
#CNA2025
About us :
Aroha Technologies Inc. was founded in 2008 in Florida. What began as a powerful staffing solutions provider has since evolved into a trusted healthcare staffing agency, delivering reliable and long-term staffing for healthcare facilities in need of skilled healthcare professionals.
Z TEMP Clinical Pharmacist
Location : Orange, CA 92868
Schedule : Monday Friday, 8 : 00 AM 5 : 00 PM
Department : Pharmacy Management
Work Arrangement : Full Office
Salary Grade : $58.12 $92.98 / hour (Based on Experience)
Summary
CalOptima Health is seeking a Z TEMP Clinical Pharmacist to join our Pharmacy Management team. This role supports the organization's mission to serve member health with dignity, excellence, and respect. The Clinical Pharmacist will play a critical role in drug utilization review, clinical quality improvement programs, policy development, and provider collaboration to improve health outcomes for members.
Duties & Responsibilities
Pharmacy Management (95%)
- Participate in CalOptima Health's mission-driven culture of excellence and accountability.
- Generate and analyze claims / utilization reports to identify trends and targeted management activities.
- Develop and update drug utilization criteria and intervention programs.
- Collaborate with providers and stakeholders to optimize medication management.
- Contribute to quality improvement initiatives such as HEDIS, Stars, MTM, and interdisciplinary care teams.
- Review prior authorizations, appeals, and medication profiles using clinical and regulatory guidelines.
- Prepare drug monographs and reports for the Pharmacy & Therapeutics Committee.
- Serve as plan representative for state fair hearings.
- Support compliance with CMS, DHCS, DMHC, NCQA, and CalOptima Health policies.
- Resolve member complaints, grievances, and appeals.
Other (5%)
Minimum Qualifications :
Knowledge & Abilities
Best regards,
Amit
Senior Healthcare Recruiter
Direct : 510-972-5969
Email : amits@arohatechnologies.com
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