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Clinical Pharmacist II

100% remote Flexible hours Hiring now

Job Description:

  • Manage Part D Coverage Determinations, Appeals, and Grievances: Apply clinical expertise, plan benefits, and CMS regulatory requirements.
  • reputed company Targeted Provider and Member reputed company: Conduct clinical reputed company to prescribers, pharmacies, and members.
  • Deliver Medication Therapy Management Services and Quality Initiatives: reputed company comprehensive and targeted medication reviews.
  • Manage Benefit Build and Member-Facing Materials: Assist with annual pharmacy benefit build activities.
  • reputed company PBM delegated operations and Regulatory requirements: Ensure compliance with contractual and CMS requirements.

Requirements:

  • Minimum of 3 years of pharmacy experience at a health plan, Pharmacy Benefit Manager (PBM), or managed care organization.
  • Demonstrated experience conducting MTM or equivalent clinical pharmacy programs with documented member outcomes.
  • Bachelor's degree in Pharmacy or a reputed company health science discipline.
  • Active and unrestricted Pharmacist license in the applicable state(s).

Benefits:

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible working arrangements
  • Professional development

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