We are seeking an experienced remote Clinical Pharmacist for Arizona City, AZ to manage pharmaceutical selection and utilization while supporting core clinical programs such as Drug Utilization Review, Drug Information Services, and formulary management. The ideal candidate will provide expert guidance, contribute to clinical program success, and ensure compliance with medical necessity criteria and regulatory guidelines.
Compensation & Benefits:$106,400 - $159,600, plus excellent benefits package
Schedule: Full Time, Monday through Friday, 8am – 5pm.
Primary Responsibilities:
This is a work from home position supporting regions in several states/areas.
Research and synthesize detailed clinical data related to pharmaceuticals.
Gap closure, medication adherence, part B reviews.
Prepare and present therapeutic class reviews and drug monographs to the Pharmacy and Therapeutics Committee.
Review and approve or deny pharmaceutical coverage based on medical necessity criteria, coordinating with internal stakeholders or health plan medical directors as needed.
Serve as a clinical resource to other pharmacists for areas such as prospective, inpatient, and retrospective DURs, providing dosage conversion and therapeutic intervention support.
Prepare detailed information for network physicians regarding pharmaceutical therapies.
Requirements:
Bachelor’s degree in Pharmacy (BA/BS); PharmD preferred.
Minimum of 2 years of managed care pharmacy (PBM) experience or completion of a pharmacy residency program in lieu of work experience.
Active and unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh) in Arizona.
Strong oral, written, and interpersonal communication skills, problem-solving abilities, facilitation skills, and analytical skills are essential.
Experience with NextGen or Athena is a plus.
Additional Requirements:
Multi-state licensure is a plus.
Must comply with state and federal laws or program contracts when conducting utilization review or appeals considerations.
For URAC-accredited areas, associates must meet professional competency requirements, including adherence to regulatory guidelines.
Must reside within the United States (excluding US military bases, vessels, or embassies unless command-sanctioned activities).
Why Join Us? This position offers an opportunity to work in a dynamic healthcare environment, contributing to the optimization of pharmaceutical care for patients across Arizona. Competitive compensation and growth opportunities await the ideal candidate.
...currently hiring for positive, nurturing and skilled Math and Reading teachers to teach small group instruction. If you aspire to inspire... ...require : Bachelor's degree Minimum 1 year of teaching or tutoring experience Content knowledge and curriculum familiarity with...
...Job Description Keck Medicine of USC is seeking a Registered Nurse (RN) Outpatient Perioperative for a nursing job in Huntington Park, California. Job Description & Requirements ~ Specialty: Perioperative ~ Discipline: RN ~ Start Date: ASAP ~ Duration...
...possible, routing products as appropriate, and meeting the prescribed time frame set by management. Cleans up and disposes boxes, packing material, and pallets, as well as general housekeeping of facility and specific product line areas. Follows and adheres to all...
...benefits that help you get the most from your career, life, and wardrobe. CENTER HOURS Sun 10am-6pm Mon - Sat 10am-7pm About the role As Assistant Manager, you support the customer experience and shape a strong store culture for associates. Your role as a store leader is an...
...Responsibilities for this Position Entry-Level Linux Developer ID: 2025-65198 USA-VA-Manassas Required Clearance: Secret, obtainable within reasonable time based on requirements Posted Date: 1/28/2025 Category: Engineering-Systems Employment Type...