Pharmacist

Geisinger

Pharmacist managing pharmaceutical benefits and customer relations for Geisinger Health Plan. Collaborating with teams to ensure high quality member care and compliance with medical necessity reviews.

Posted 6/10/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Act as a liaison between the Health Plan and its customers with respect to pharmaceutical benefits
Serves as formulary expert for all lines of business and associated benefit designs
Supports internal operations in their duties to provide information to our customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed
Supports prior authorization representatives in their duties related to medical necessity, formulary exceptions, and prior authorization reviews
Perform medical necessity reviews for formulary exceptions and prior authorizations according to specified timelines
Perform extensive literature review and develop clinical criteria for new and existing pharmaceuticals as part of a drug review function to be presented at the Pharmacy and Therapeutics Committee
Works closely with clinical enterprise to coordinate the best, most cost effective, drug selection policies, and protocols for targeted disease processes

Requirements

What you’ll need

Bachelor's Degree- (Required)
Licensed Pharmacist (Pennsylvania) within 90 days - State of Pennsylvania
Application Delivery Process
Teamwork

Benefits

Comp & perks

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners
Encouragement of an atmosphere of collaboration, cooperation and collegiality

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical necessity reviewsformulary managementclinical criteria developmentliterature reviewprior authorization processesdrug selection policiescost effective drug protocols

Soft Skills

teamworkcommunicationliaison

Certifications

Licensed PharmacistBachelor's Degree