Pharmacist in Portland, OR

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.