This opportunity is ideal for an experienced Clinical Pharmacist Specialist seeking a remote position supporting managed care pharmacy services. You will play a vital role in ensuring high-quality, evidence-based medication management for health plan members through collaboration with medical directors, nurses, and providers. Your expertise will directly impact patient outcomes while managing costs effectively.
Key Responsibilities:
- Provide direct patient care via Medication Therapy Management (MTM) programs
- Manage population-based disease care initiatives and specialty pharmaceutical coordination
- Review pharmacy and medical claims; conduct drug utilization reviews and develop clinical policies
- Participate in Pharmacy and Therapeutics (P&T) Committee activities
- Communicate therapeutic recommendations tactfully to physicians and healthcare teams
- Educate and consult with providers, members, and caregivers on medication management
- Maintain professional development and stay current with clinical pharmacy best practices
- Adapt to a fast-paced, evolving managed care environment with shifting priorities
Qualifications/Experience:
- Active Pharmacist license in Oregon, Washington, or California
- Minimum 3 years of experience in managed care pharmacy including prior authorizations, audits, appeals, and ALJ court hearings
- Strong knowledge of clinical policy development, drug utilization review, and medication therapy management
- Excellent communication skills with an ability to work collaboratively across healthcare teams
- Ability to prioritize multiple tasks efficiently in a dynamic setting
- Weekend availability rarely required a few times per year
Location: Remote position supporting members primarily in Oregon
Schedule: Monday through Friday, standard business hours
This contract role offers the chance to work remotely with a focus on clinical pharmacy services in a managed care setting. If you have a passion for optimizing medication use and improving patient care in a collaborative environment, consider applying today to take the next step in your pharmacy career.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
- Competitive Salary
- Weekly Paycheck
- Matching 401(k) Plan
- Extensive Medical Coverage
- Licensing Assistance
- Custom Housing
- Travel Assistance
- Professional Development Reimbursement