A managed care clinical pharmacist role is available for a dedicated professional holding a pharmacist license in OR, WA, or CA. This remote, Monday through Friday position provides an opportunity to apply expertise in medication therapy management and population-based disease oversight within a collaborative health plan setting.
Key Responsibilities:
- Deliver clinical pharmacy services focused on Medication Therapy Management (MTM) and specialty pharmaceutical care coordination.
- Collaborate closely with medical directors, nurse case managers, network physicians, and other healthcare providers to promote evidence-based, cost-effective care.
- Conduct in-depth drug utilization reviews, develop clinical policies, and actively participate in Pharmacy and Therapeutics (P&T) Committee initiatives.
- Review pharmacy and medical claims to identify medication-related problems and implement therapeutic interventions.
- Educate and consult with multidisciplinary teams, including physicians, pharmacists, and nurses, to enhance patient outcomes and optimize medication use.
- Manage prior authorizations, audits, appeals, and hearings effectively in a managed care environment.
- Maintain personal professional development and keep current with clinical pharmacy advances.
Desired Experience and Qualifications:
- Active Pharmacist License in Oregon, Washington, or California.
- Minimum of 3 years working in a managed care setting with considerable experience handling prior authorizations, audits, appeals, and ALJ court hearings.
- Strong communication skills, capable of delivering clinical recommendations diplomatically.
- Ability to work effectively in a fast-paced, dynamic healthcare environment.
- Commitment to high-quality care while managing costs responsibly.
- Willingness to occasionally work rare weekends a few times per year.
Location:
- Remote work with preference for candidates licensed in OR, WA, or CA.
This contract position offers a chance to influence meaningful healthcare outcomes through pharmacological expertise in a managed care framework. Candidates with the requisite experience and licensure are encouraged to apply to contribute clinical excellence in a collaborative, remote role.
Compensation for this position ranges from $58.00 to $76.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.
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