A remote opportunity is available for a Clinical Pharmacist Specialist (CPS) to provide expert pharmacy services focused on managed care populations. This role supports high-quality, evidence-based medication management and cost-effective care coordination for health plan members. The CPS collaborates closely with medical directors, nurse case managers, and network providers to ensure optimal patient outcomes.
Key Responsibilities:
- Deliver direct patient care through Medication Therapy Management (MTM) programs.
- Manage population-based disease initiatives and specialty pharmaceutical acquisition.
- Conduct drug utilization reviews and develop clinical pharmacy programs.
- Participate in clinical policy formulation, including Pharmacy and Therapeutics Committee duties.
- Review pharmacy and medical claims, interact with members and caregivers, and develop medication-related problem lists.
- Communicate therapeutic recommendations to physicians clearly and professionally to implement necessary changes.
- Provide education and consultation to healthcare team members, ensuring alignment with best practices.
- Maintain professional development through ongoing education and adapt to a fast-paced, evolving healthcare environment.
- Enhance quality of care and optimize health outcomes while effectively managing costs.
Desired Qualifications:
- Active Pharmacist license from Oregon, Washington, or California.
- Minimum of 3 years’ experience in a managed care environment, including direct involvement with prior authorizations, audits, appeals, and ALJ court hearings.
- Strong communication skills, with the ability to influence physician prescribing habits constructively.
- Proven ability to prioritize responsibilities and manage workload effectively.
- Commitment to continuous professional growth and adapting to healthcare changes.
Schedule:
- Monday through Friday, remote work.
- Rare weekend coverage required a few times per year.
This contract position offers the chance to contribute to population health management within a dynamic managed care setting. Candidates with a passion for clinical pharmacy and improving patient outcomes are encouraged to apply. Take the next step in your pharmacy career by submitting your application today.
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