Fully Remote Pharmacist

Description:

Pharmacists will be reviewing members’ Utilization Management (UM) requests (i.e. formulary exceptions, prior authorization, step therapy, quantity limit exceptions). Client-specific criteria are referenced to determine if a prior authorization can be approved or denied. The work is detail-oriented, and candidates will be expected to provide clinical judgement and communication.

Qualifications:

• Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.

• Current pharmacist license in good standing with the State Board of Pharmacy in the State where the candidate is licensed. *Verify by searching (State) State Board of Pharmacy, ex: Oklahoma State Board of Pharmacy (will need license number from pharmacist). Also provide transparency on any disciplinary action taken on license which is provided in the search.

Must Haves:

1. Ability to prioritize tasks and manage multiple projects simultaneously.

2. Drive to deliver results orientation.

3. A motivated self-starter who does not need constant direction or feedback to drive results.

4. Ability to make clinical decisions independently

5. Flexibility to change and resourceful

Technology Requirements:

• Proficient with learning new computer systems, basic IT trouble shooting and using multiple monitors

• Word and Excel

• Ability to type 35+ WPM

Additional Preferred Requirements:

• Previous PBM or Case/Care Management experience. Retail experience preferred vs Hospital experience

Details:

100% remote role- this would be a great opportunity for someone wanting to get away from retail pharmacy 

There may be an opportunity after peak season to complete training for and review specialized cases (ex: oncology, hepatitis C, and other complex conditions).

• Consultants may also be cross-trained for other departments, such as the Medication Therapy Management (MTM) team or Call Center Counseling (CCC).

• Additional training opportunities are not guaranteed. If available, production metrics, work quality, attendance, and general proficiency will be assessed.