Clinical Pharmacist, Pharmaceutical Services Consultant
Conduent
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $100,100 - $130,000 per year
About the role
- Proactively deliver new drug analyses and recommendations, including coverage guidance, clinical prior authorization criteria, pharmacoeconomic insights, and pharmacy practice guidelines.
- Provide ad hoc data analyses and query results to HCA New Mexico to support clinical program development and decision-making.
- Lead regularly scheduled client clinical meetings and remain available during business hours to address client questions and requests.
- Review rejected claims and provide clinical recommendations for prior authorization determinations.
- Collaborate with Retro DUR pharmacists to implement new interventions, create ad hoc reports, and address inquiries from clients, providers, and internal staff.
- Partner with the account team to update clinical interventions based on evolving treatment guidelines and evidence-based recommendations.
- Work with the IT team to ensure accurate configuration of clinical recommendations.
- Supply required data for annual CMS survey responses.
- Present clinical updates quarterly at state DUR Board meetings.
Requirements
- PharmD degree.
- Minimum of two (2) years’ experience with Pharmacy Benefit Management, Prior Authorization processes, and knowledge of pharmacy point-of-sale systems and adjudication rules.
- Proficiency with Microsoft 365 (Word, Excel, PowerPoint, SharePoint).
Benefits
- Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
- Retirement Savings: We will support you as you save for your future.
- Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
- Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
- Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
- Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.
- Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisclinical recommendationspharmacoeconomic insightscoverage guidanceprior authorization criteriaad hoc reportingpharmacy practice guidelinespharmacy benefit managementpoint-of-sale systemsadjudication rules
Soft Skills
communicationcollaborationleadershipproblem-solvingclient managementorganizational skillspresentation skills
Certifications
PharmD