Clinical Pharmacist 1 Position Available In Wake, North Carolina
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Job Description
Clinical Pharmacist 1 Spectraforce Technologies United States, North Carolina, Raleigh 500 West Peace Street (Show on map) Jun 24, 2025
Position Title:
Clinical Pharmacist 1
Work Location:
Remote Assignment Duration:
6 months
Work Schedule:
10 am – 6:30 pm EST, OT possible
Position Summary:
Define and develop standard and custom formularies for assigned plan.
Background & Context:
This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.
Key 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
Qualification & 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 Current state’s Pharmacist license with no restrictions
Notes:
A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determinations
Candidate Requirements Education/Certification:
Required:
Bachelors /
PharmD Licensure:
Required:
Current state’s pharmacist license
