Pharmacist | Portland, Oregon

Join a dynamic remote opportunity as a Clinical Pharmacist Specialist (CPS) focused on managed care pharmacy services for members across Oregon, Washington, and California. This contract role offers the chance to apply your clinical expertise in a fast-paced, evolving healthcare environment, supporting evidence-based, cost-effective medication management.

Key Responsibilities:

• Provide direct patient care through Medication Therapy Management (MTM) programs.
• Collaborate with medical directors, nurse case managers, network physicians, and providers to coordinate and optimize care.
• Manage population-based disease and specialty pharmaceutical care coordination.
• Conduct drug utilization reviews and develop clinical policies, including participation in Pharmacy and Therapeutics (P&T) Committee.
• Review pharmacy and medical claims; educate members, caregivers, and healthcare teams.
• Develop medication-related problem lists and implement medication action plans with provider interventions.
• Participate in medical policy development to promote safe, quality, and cost-effective medication use.
• Communicate therapeutic recommendations tactfully and effectively to healthcare providers.
• Maintain personal accountability for ongoing professional development in clinical pharmacy.

Qualifications & Desired Experience:

• Active pharmacist license in OR, WA, or CA required.
• Minimum 3 years’ experience in a managed care environment, including prior authorizations, audits, appeals, and ALJ court hearings.
• Proficiency in navigating complex pharmacy and healthcare systems.
• Excellent communication and clinical decision-making skills.
• Ability to prioritize tasks in a fast-paced, constantly changing setting.
• Willingness to work rare weekends a few times per year.

Schedule:

• Monday through Friday
• Rare weekends, few times per year

This role supports remote work flexibility with a focus on enhancing care quality and optimizing health outcomes while effectively managing costs. If you possess a strong managed care pharmacy background and thrive in collaborative clinical settings, consider applying now to contribute to innovative healthcare delivery.

Take the next step in your pharmacy career—submit your application today.