Clinical Pharmacist I

Responsibilities:

• Drive accurate and timely Part D coverage decisions by reviewing determination and appeal requests.
• Deliver Medication Therapy Management services via telephone for members in the MTM program.
• Advance pharmacy quality and compliance initiatives aligned with Medicare Star Ratings.

Requirements:

• Minimum 1 year experience at a health plan, PBM, or managed care pharmacy setting.
• Active and unrestricted Pharmacist license in applicable state(s).
• Bachelor's degree in Pharmacy or related field; PharmD preferred.

Skills:

• Intermediate Part D regulatory and formulary knowledge.
• Intermediate clinical decision-making and evidence application.
• Intermediate pharmacy benefit management systems experience.