Clinical Pharmacist

Gainwell Technologies

Clinical Pharmacist evaluating prescription claims data and developing recommendations for improved member outcomes. Collaborating with internal stakeholders to implement pharmacy strategies and manage utilization programs.

Posted 7/16/2026full-timeRemote • Maryland • 🇺🇸 United StatesMid-LevelSenior💰 $135,000 - $165,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evaluating prescription claims data and developing clinically driven recommendations. Proficient in analyzing healthcare data and applying population health principles to enhance medication use and quality outcomes.

Highest-signal resume keywords

Licensed PharmacistPharmacy Benefit Management ExperienceMedicaid Programs KnowledgeData Analysis ProficiencyUtilization Management Program Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prescription Claims EvaluationUtilization Management Criteria EvaluationHealthcare Data AnalysisClinical Outcomes EvaluationQuality Measures AssessmentPopulation Health Principles Application

Soft Skills

Effective CommunicationPresentation SkillsProblem-Solving

Tools & Technologies

Microsoft OfficeVirtual Collaboration PlatformsProject Management Tools

Certifications & Qualifications

Licensed Pharmacist

Industry Keywords

Pharmacy Managed CareMedicaid ProgramsHealthcare DeliveryClinical Recommendations

About the role

Key responsibilities & impact

evaluate prescription claims data
develop and present clinically driven recommendations and initiatives
evaluate utilization management criteria and operational impact
support and maintain configuration requirements
research policy and regulatory drivers
coordinate with operations, claims, network, reporting, and other internal stakeholders
analyze clinical, utilization, prescribing, claims, and pricing data
develop, implement, manage, and evaluate utilization management programs

Requirements

What you’ll need

Licensed Pharmacist
minimum of five (5) years of experience in pharmacy benefit management or pharmacy managed care
detailed knowledge of Medicaid programs at both state and federal levels
ability to communicate succinctly and accurately in both written and verbal English across diverse audiences
experience presenting complex clinical findings, recommendations, and program outcomes to senior leaders
experience evaluating healthcare data, clinical outcomes, quality measures, and performance metrics
demonstrated experience applying population health principles to improve medication use, quality outcomes, and healthcare delivery
strong PC skills with advanced proficiency in Microsoft Office, data analysis, project management, problem-solving, and virtual collaboration platforms

Benefits

Comp & perks

comprehensive health benefits
flexible vacation policy
401(k) employer match
educational assistance
leadership and technical development academies