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Job Description
Category Pharmacy - Pharmacist Job Type Contract This remote Managed Care Pharmacist role offers an opportunity to provide clinical pharmacy expertise within a dynamic health plan environment. The position requires a licensed pharmacist in OR, WA, or CA with at least 3 years of experience in managed care settings, including handling prior authorizations, audits, appeals, and ALJ court hearings. Candidates must be adept at delivering patient-centered care while collaborating closely with medical directors, nurse case managers, and healthcare providers.
Key Responsibilities:
Deliver comprehensive medication therapy management (MTM) services directly to patients. Engage in population-based disease management and specialty pharmaceutical coordination. Conduct drug utilization reviews and contribute to clinical policy development, including Pharmacy and Therapeutics (P&T) Committee activities. Review pharmacy and medical claims to identify medication-related issues and implement interventions. Educate and consult with healthcare professionals and members to promote evidence-based, cost-effective pharmaceutical care. Communicate therapeutic recommendations effectively to physicians for optimal patient outcomes. Maintain professional development to stay current in clinical pharmacy practices. Manage multiple priorities efficiently in a fast-paced, evolving healthcare environment. Support quality enhancement and cost management objectives. Qualifications /
Desired Experience:
Active pharmacist license in Oregon, Washington, or California. Minimum of 3 years' experience in a managed care pharmacy environment. Strong knowledge of prior authorization processes, audits, appeals, and ALJ hearings. Excellent communication and collaboration skills. Ability to prioritize tasks and work independently. Commitment to ongoing education and professional growth.
Schedule & Location:
Remote position with weekday hours, Monday through Friday. Rare weekend work required a few times per year. This contract opportunity provides a chance to impact patient care on a broad scale through evidence-based clinical pharmacy services. If you meet these qualifications and thrive in a managed care setting, apply today to contribute your expertise to a forward-thinking healthcare initiative. Equal Opportunity Employer Minorities/Women/Veterans/Disabled