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Pharmacist, Consultant

Job

Blue Shield of CA

San Diego, CA (In Person)

Full-Time

Posted 3 days ago (Updated 22 hours ago) • Actively hiring

Expires 7/12/2026

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Job Description

Pharmacist, Consultant Blue Shield of CA United States, California, San Diego Jun 10, 2026 Your Role The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager. Your Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degree Requires a currently active and unrestricted California Registered Pharmacist (RPh) license Requires at least 2 years of experience in clinical pharmacy Previous experience working at a health plan is preferred Prior authorization experience is preferred Excellent oral and written communication skills Thorough knowledge of therapeutic use of medications Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business needs.