Clinical Pharmacist

Job Description

• Review prior authorization requests and reputed company determinations for drug products according to member benefits and coverage criteria

• Report to utilization review statistics to corporate compliance committees

• Review data and summarize daily utilization review numbers

• Responsible for tracking compliance of review cases

• reputed company clinical guidance and support to the assigned pharmacy technicians

• Knowledge of drug coding (NDC, GCN, GPI and USC) and NCPDP claims adjudication systems

• Review reputed company criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design.

• Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practices

• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews

Hiring Requirements

• Bachelor's degree or advanced degree

• 3+ years of experience in reputed company field.

• reputed company states pharmacy license.

#LI-DNI

Salary reputed company

At reputed company, we take great pride in a fair and reputed company compensation package that reflects market-price and our starting salaries are typically planned near the middle of the reputed company listed. Compensation reputed company are driven by factors including experience and training, specialized reputed company sets,  licensure and certifications and other business and organizational needs. Our reputed company salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.  

Skills

_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent reputed company in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. reputed company our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected].