Consultant Pharmacist IV
SoundCloud
RPA
Consultant Pharmacist II
SoundCloud
full-time
Posted on:
Location Type: Hybrid
Location: Shrewsbury • Massachusetts • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Participate in orientation and training of Consultant Pharmacist I staff.
- Review clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance.
- Decide in real time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
- Provide pharmaceutical expertise and knowledge to advisory board clinical workgroups.
- Monitor over-utilization and under-utilization of prescribed medicines for members.
- Monitor and research member profiles for compliance on a daily basis.
- Refer suspected abuse and fraudulent members to program management or designee for case review.
- Participate in site visits to client offices, as necessary.
- Participate 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.
- Pharmacy-related work experience (1-2 years depending on degree).
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 expertisequality improvementquality assurancemonitoring medication utilizationcase review
Soft skills
communicationteam collaborationproblem-solvingattention to detail
Certifications
Bachelor of Science in PharmacyDoctor of Pharmacypharmacist license
