Description
The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization.
Responsibilities:
- Complete medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization
- Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action
Requirements:
- Doctor of Pharmacy (Pharm.D.) from an accredited college of pharmacy
- Active pharmacist license in the state of residence
- Eligibility to participate in federal prescription programs (e.g., Medicare/Medicaid)
- Self-directed with the ability to work effectively both independently and in a team environment
- Strong problem-solving skills and the ability to foster collaborative solutions
- High attention to detail with a strong work ethic focused on accuracy and productivity
- Excellent verbal and written communication skills
- Proficiency with computer systems, including Microsoft Office Suite, clinical decision support tools, pharmacy benefit management platforms, and electronic health records
Preferred Qualifications:
- Experience in managed care pharmacy, particularly in utilization management review
Benefits:
- Paid time off
- 401(k) retirement savings plan
- Employee assistance program
- Business travel and accident insurance
Schedule:
- Variable staffing pool (VSP) role with hours varying between 24-40 hours per week
- Mid to later shift (e.g., 8 PM ET or later ending time) will be assigned based on business need
- Some weekend coverage may be required
- Mandatory overtime during peak season
Salary Range:
- $104,000 - $143,000 per year