Consultant Pharmacist II
SoundCloud
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Participates in orientation and training of Consultant Pharmacist I staff.
- Reviews clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance with increasing independence.
- Decides in real time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
- Provides pharmaceutical expertise and knowledge to advisory board’s clinical workgroups.
- Monitors over-utilization and under-utilization of prescribed medicines for members.
- Assists in monitoring and researching profiles for compliance on a daily basis.
- Refers suspected abuse and fraudulent members to program management or designee for case review.
- Participates in site visits to client offices, as necessary.
- Participates in quality improvement and quality assurance initiatives.
- Perform other duties as required.
Requirements
- Bachelor of Science degree in Pharmacy with 2 years of pharmacy-related work experience OR Doctor of Pharmacy degree with 1 year of pharmacy-related work experience OR Doctor of Pharmacy Degree with completion of 1 year of pharmacy residency
- Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts
- Ability to travel to off-site locations.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentation reviewmedical necessity determinationprior approval requestspharmaceutical expertisecompliance monitoringquality improvementquality assurancecase review
Soft skills
communicationindependenceadvisory skillsanalytical skills
Certifications
Bachelor of Science in PharmacyDoctor of Pharmacypharmacist license