Clinical Pharmacist
Company Name:
Centene
## Description
Position Purpose:
Define and develop standard and custom formularies for assigned plan
Position
Responsibilities:
Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clients
Monitor and review prior authorization requests for medications
Develop and design clinical edits to adjudicate claims and enhance drug utilization
Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
Participate in the development and implementation of medication therapy management programs
Provide clinical guidance and support to various departments and address clinical related questions
## Qualifications
Knowledge/
Experience:
Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy. 2
years of mail order, retail, hospital or managed care pharmacy experience or pharmacy residency program experience.
## Job
Job: Pharmaceutical
Primary Location: USA-South Carolina-Columbia
Organization: Absolute Total Care
Schedule: Full-time
Req ID: 006EB
Req Number: 006EBEstimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Position Purpose:
Define and develop standard and custom formularies for assigned plan
Position
Responsibilities:
Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clients
Monitor and review prior authorization requests for medications
Develop and design clinical edits to adjudicate claims and enhance drug utilization
Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
Participate in the development and implementation of medication therapy management programs
Provide clinical guidance and support to various departments and address clinical related questions
## Qualifications
Knowledge/
Experience:
Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy. 2
years of mail order, retail, hospital or managed care pharmacy experience or pharmacy residency program experience.
## Job
Job: Pharmaceutical
Primary Location: USA-South Carolina-Columbia
Organization: Absolute Total Care
Schedule: Full-time
Req ID: 006EB
Req Number: 006EBEstimated Salary: $20 to $28 per hour based on qualifications.
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