Source Job

$154,128–$204,214/yr
US

  • Perform patient-specific medication reviews and develop recommendations for medical drug utilization management and Medication Therapy Management.
  • Resolve medication and pharmacy issues for members triaged from Member Services or other departments.
  • Act as subject matter expert for audits, quality improvement, and LEAN projects.

Pharmacology Medication Therapy Management Regulatory Compliance Managed Care

16 jobs similar to Clinical Pharmacist - Pharmaceutical Services

Jobs ranked by similarity.

US

  • Provides comprehensive medication management and patient counseling through telephone consultations.
  • Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
  • Collaborates with healthcare professionals to optimize therapeutic outcomes.

Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.

$126,300–$173,700/yr
US

  • Manage medication therapy for high-risk patients with chronic conditions using evidence-based protocols.
  • Collaborate with physicians, nurses, and specialists to optimize treatment plans during high-risk rounds.
  • Conduct patient education and in-service sessions to promote medication safety and quality care.

CenterWell Senior Primary Care provides proactive, preventive care to seniors, focusing on personalized experiences and whole-person health. As part of Humana, a large healthcare company, we foster a caring community that prioritizes employee well-being with competitive benefits.

US

  • Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers.
  • Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives.
  • Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.

Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans, using a unified claims processing platform. The company focuses on transparency and efficiency, serving millions of Americans.

  • Verify prescriptions and conduct drug utilization reviews to ensure regulatory compliance.
  • Review Prior Authorization requests and transfer prescriptions for timely medication delivery.
  • Collaborate across departments to improve patient health outcomes and adherence.

PHIL is a San Francisco-based health-tech startup building a platform that connects doctors, pharmacies, and patients to streamline prescription management and delivery. The team consists of mission-driven individuals from diverse backgrounds focused on creating an innovative healthcare platform.

US

  • Develop and maintain protocols for prescribing, dispensing, and administering medications.
  • Provide specialized services to help patients manage chronic conditions such as Diabetes, COPD, and Hypertension.
  • Collaborate with healthcare professionals to plan, monitor, and evaluate patient effectiveness and medication safety.

Better Health Group is a healthcare organization dedicated to improving patient health through comprehensive medication management services. It is a growing team that values commitment, passion, and a culture of support for both employees and patients.

California

  • Support patients by managing prescription refill requests and authorizing renewals based on standing orders.
  • Receive and triage refill requests from pharmacies and patients, reducing provider time spent on refills.
  • Communicate effectively with physicians and patients, ensuring consistent turnaround and adherence to care plans.

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation providing comprehensive health care services. As an affiliate of one of the largest health systems in the nation, they offer purposeful work settings where staff can advance through challenging assignments.

US

  • Triage clinical program calls, schedule consultations, and conduct outreach to members, prescribers, and pharmacies.
  • Monitor outreach queues, document case activities, and escalate issues to ensure timely completion of clinical programs.
  • Maintain compliance with HIPAA and internal SOPs while providing compassionate, professional support to members and providers.

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. They consolidate pharmacy and medical benefits on a unified platform, leveraging AI-powered care delivery to enhance efficiency and service. The company is a growing startup focused on transforming healthcare infrastructure.

  • Verify prescriptions for therapeutic appropriateness, interactions, and dosing accuracy.
  • Provide proactive phone-based patient counseling and handle inbound clinical calls.
  • Collaborate with prescribers and supervise pharmacy technicians to maintain workflow quality.

Blink Health is a healthcare technology company that builds products to make prescriptions accessible and affordable, with a focus on removing roadblocks in the prescription supply chain. They are a collaborative team of builders and operators who value innovation and diversity.

US

  • Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
  • Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
  • Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.

Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.

US

  • Support pharmacy benefit operations by coordinating clinical and administrative workflows.
  • Review documentation and communicate with members, providers, and internal stakeholders.
  • Ensure accurate and compliant processing of pharmacy benefit requests.

We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.

US Unlimited PTO

  • Lead a multidisciplinary team integrating QA oversight, technical system management, and medication policy execution.
  • Drive clinical strategy, prior authorization platform management, and data-driven process improvements.
  • Ensure safety, evidence-based compliance, and operational excellence across the PA ecosystem.

SmithRx is a venture-backed Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. With hundreds of thousands of members onboarded since 2016, the company is guided by a mission-driven and collaborative culture that inspires employees to transform the U.S. healthcare system.

US

  • Provide clinical expertise in neurology and behavioral health across the system.
  • Develop and implement evidence-based guidelines, policies, and procedures.
  • Collaborate with healthcare teams to enhance medication use and patient outcomes.

Baptist Health is a full-spectrum health system based in Louisville, Kentucky, operating 10 hospitals and more than 470 points of care. With over 24,000 employees and a strong focus on clinical excellence and nursing recognition, it is dedicated to improving community health.

$40–$40/hr
US

  • Serve as a key liaison between patients, providers, and pharmacies to ensure seamless care coordination.
  • Own a queue of active clinical cases, reviewing them and driving each to resolution through persistent follow-up.
  • Use sharp clinical judgment to separate real issues from noise and communicate clearly with all stakeholders.

GoldenScript is an AI-native pharmacy services platform that optimizes medication management for patients. The company is a small startup focused on clinical care coordination and patient outcomes.

US

  • Support Pharmacists and patients by conducting medication reviews and optimizing prescription drug therapy.
  • Make outbound calls and take inbound calls to collect medication history and provide counseling.
  • Work remotely with a flexible schedule within EST business hours and participate in training with camera on.

Humana is a leading U.S. healthcare company that provides insurance and healthcare services to millions. With a large workforce, Humana fosters a caring community and supports career growth.

US

  • Processes electronic medication refill requests and communicates with providers and patients.
  • Ensures compliance with all HIPAA regulations and maintains patient confidentiality.
  • Provides excellent customer service and assists with prior authorization and medication assistance guidance.

St. Elizabeth Healthcare provides medical services as one of the largest healthcare providers in the Northern Kentucky region. The organization emphasizes a culture of caring for patients and each other, with a focus on innovation and community.

US

  • Participate in a remote video session discussing your clinical workflow and medication selection process.
  • Walk through recent examples of evaluating medication options and explain reasoning for treatment recommendations.
  • Review hypothetical patient scenarios and share challenges in prescribing and ordering therapies.

Terac is building the world's largest pool of vetted human experts for AI, enabling researchers and AI labs to recruit participants for studies. As a growing platform, it focuses on connecting experts across industries for paid research sessions.