Remote Pharmacist

Must be local to Buffalo New York!

Job Description

The clinical pharmacist position is responsible for participating in a wide range of provider, patient, and employer initiatives and programs. This role supports various lines of business, including Medicare, Commercial, Exchange (Marketplace), and Medicaid, managing quality, appropriateness, safety, and cost for these member populations. The pharmacist will conduct prior authorization reviews, focusing on the pharmacy benefit side of the industry.

Responsibilities

• Conduct GLP medication reviews, focusing on weight loss and diabetes medications.
• Perform utilization reviews and prior authorization reviews for the pharmacy and drug benefit side of the business.
• Complete 40-50 reviews per day after training and ramp-up period of 4 weeks.
• Review electronically and maintain detailed records.

Essential Skills

• Pharmacy degree and NY State Licensure.
• Strong customer service orientation with effective communication skills.
• Fundamental knowledge of drug information processes and research capabilities.
• Experience in clinical pharmacy, including patient management initiatives.
• Ability to serve as a professional liaison with internal and external organizations.
• Proficiency in Microsoft Word and Excel.
• Excellent verbal and written communication skills with healthcare professionals and patients.

Additional Skills & Qualifications

• PharmD or Bachelor of Science accepted.
• Managed care experience preferred.
• Experience in retail pharmacy is advantageous.
• Quick learner with the ability to adapt to new systems.
• Comfortable with contract work.

Work Environment

This role offers a 100% remote work environment with hours from 8:30 am to 5:00 pm, Monday through Friday. Must be local to Buffalo New York for occasional travel that may be required within New York State and neighboring areas. The position involves significant time spent at a computer and using the telephone, requiring the ability to manage multiple projects simultaneously. The environment is fast-paced, with frequent interactions outside the immediate work area and with external customers. High-level interpersonal interaction is expected, with significant contact with outside vendors, providers, and customers.