Job Description

Remote Clinical Pharmacist

Responsibilities:

• Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding the use of pharmaceutical treatment regimens.
• Complies with all corporate and facility standard operating procedures, policies, guidelines, and work instructions.
• Provides prior-authorization services for formulary drugs, develops programs to provide optimal pharmacy care to patients, participates in drug utilization review programs, reviews assessment and documentation of patient care, and retrospective reviews of provider reimbursement. Makes recommendations to physicians and other prescribers on medication regimens as per plan guidelines.
• Assists providers to ensure accurate dispensing and billing of products.
• Adheres to organizational policies and procedures. Ensures compliance with Federal and State laws and standards of practice which govern the profession of pharmacy.
• Maintains pharmacy records in accordance with all applicable state and federal laws and regulations. Maintains clinical skills and knowledge of pharmacotherapy by reviewing the literature, continuing education and any company provided in-services. Completes all mandatory company provided on-line courses. Attends and completes all assigned development courses.
• Makes outbound or takes inbound telephone calls to assist in various aspects of patient care and/or product distribution to/from practitioners, members, and pharmacies. These calls include, but are not limited to, comprehensive medication reviews, targeted medication reviews, call to practitioners about product awareness, and prior authorizations.

Qualifications/Education/Licensure/Experience:

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree
• Current Louisiana State Board of Pharmacy, Pharmacist License in good standing
• Must reside in Louisiana
• Prior Authorizations experience preferred
• Minimum of One Year of experience as a Licensed Pharmacist
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Location/Work Schedule:

• 100% Remote but team will work on CST
• Shifts vary between 8am-8pm CST
• Rotating weekends, if needed to support business needs

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