Pharmacist

• Direct, coach, and develop team members through regular 1:1 meetings.
• Complete performance reviews, coaching documentation, and corrective actions.
• Manage staffing, schedules, queue performance, and workload balancing.
• Review KPIs including Quality, AHT, Productivity, Attendance, and SLA.
• Identify training opportunities and partner with Learning & Development.
• Handle escalated member, provider, and client concerns.
• Monitor daily operational performance against SLA, productivity, quality, and schedule adherence goals.
• Ensure compliance with HIPAA, CMS, state board of pharmacy requirements, and internal policies.
• Use reporting to identify trends and recommend corrective actions.
• Partner with Workforce Management, Training, Operations, and Leadership.
• Support continuous improvement initiatives and standardization efforts.
• Maintain documentation and confidentiality standards.
• Participate in calibration sessions and business meetings.

Participant Services Pharmacist Supervisor

• Audit prior authorization activities
• Identify opportunities for process improvement
• Support clinical training initiatives
• Help maintain the integrity of critical pharmacy systems and data
• Partner with business groups to identify and resolve errors in data and reporting
• Assist with the administration of audit processes and tools related to prior authorizations, appeals, quality improvement, star measurement reviews, inter-rater reliability and data entry
• Assess training needs and identify, select or develop appropriate training programs including training aids and materials
• Assist with training staff in the use of audit tools and identification of patterns or trends that require additional training or corrective action
• Maintain records of training activities and employee progress
• Participate in Quality and Advisory committees or provider education meetings

Clinical Audit Coordinator, Pharmacy

• Supports all aspects of pharmacy services within the Banner Health Insurance Division, including utilization management, care management, and pharmacy quality responsibilities.
• Drives optimal member experience, provider experience, and financial performance through assigned areas of work.
• Provides management of pharmacy services to Insurance Division members, including commercial, Medicare, Medicaid populations within owned/operated health plans as well as value-based agreements.
• Identifies and stratifies members based on complex pharmaceutical care needs to optimize pharmacotherapy regimens at the patient/member level, and population level to improve overall healthcare quality and reduce costs that is consistent with acceptable standards of pharmacy practice and CMS Medicare Part D regulations and guidance.
• Analyzes and interprets pharmacy and medical claims reporting and other sources of clinical and economic data to generate insights and clinical service opportunities.
• Active participant and/or leader in defining, implementing, and managing clinical programs and services that improve pharmaceutical care quality and lowers costs in all Insurance Division lines of business.

Population Health Clinical Pharmacist

• Supports the Pharmacy Department in processing pharmacy prior authorization (PA) requests in an accurate and timely manner
• Performs clinical decision making using approved guidelines while addressing issues pertaining to pharmacy
• Processes and finalizes PA requests based on approved guidelines under the supervision of a pharmacist and/or medical director
• Assures that pharmacy claims are adjudicating correctly
• Communicates clearly and accurately with other healthcare professionals
• Provides reporting for internal and external customers including pharmacy claims analysis
• Participates in the daily review of the Medicare denied claims report
• Meets established departmental performance metrics for quality and productivity

Pharmacy Patient Advocate

• Ensure compliance with DEA and Arizona State Board of Pharmacy regulations regarding handling controlled and non-controlled medications
• Work with a team of nurses and pharmacy technicians to ensure that medications are received from an off-site pharmacy and organized/maintained at each of the medical clinics within the 6 Maricopa County Jails
• Collaborate with nursing teams, providers, and medication supply team to enhance medication workflows and troubleshoot medication-related problems
• Manage medication, scan medications into the clinic from pharmacy vendor
• Reconcile and receive medications, inventory clinic stock, and monitor for outdated medications
• Order stock medications as needed to maintain established clinic PAR level
• Assist clinic nurses with patient-specific medication refills, returns medications, and accurately document findings and processes
• Manage controlled medications for all CHS clinics by ordering replacement stock to maintain clinic par level, destroy abandoned patient-specific medications, audit all controlled medication sign-out sheets for compliance, monitor methadone sign-out sheets and shift counts to ensure clinics are within DEA guidelines
• Work with contracted pharmacy to reduce fiscal waste of non-returnable medications, manage and record destruction of unused 340B medications
• Manage the distribution and accountability of immunizations supplied by Public Health to ensure compliance with the Vaccines for Adults program
• Maintain medications on provider cart by ordering replacement stock when needed and replacing outdated medication
• Assist with medication transfer between clinics when needed

Pharmacy Technician, Licensed – Med Room Assistant

• Deliver rapid quality and process improvement information to the technicians on their team
• Prepare material for and deliver in team meetings
• Serve as a subject matter expert for their team
• Provide guidance to pharmacy technicians on quality assurance monitoring and productivity standards
• Track and triage coverage determination requests submitted from providers
• Obtain verbal authorizations and request detailed clinical information from prescribers
• Approve coverage determination requests based on defined criteria
• Document coverage determination request decision into the PBM system and notify providers and/or members
• Respond to client inquiries regarding authorization approvals and PBM on-line applications
• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
• Perform other duties as assigned

Lead Pharmacy Technician

• Work with insurance companies to obtain medication approvals.
• Use pharmacy systems to enter data, run test claims, and manage follow-up actions.
• Document patient needs, authorization status, and assistance efforts across systems and EMRs.
• Communicate with prescribers to ensure accurate and appropriate prescriptions.
• Maintain detailed records of all patient interactions.
• Assist patients with insurance claims and medication adherence over the phone.
• Partner with pharmacists and liaisons to support coordinated patient care.
• Research information to support decisions and operational improvements.
• Manage and update data in relevant databases.
• Identify issues, recommend solutions, and participate in process improvement initiatives.
• Maintain confidentiality and ongoing professional development.
• Perform additional duties as needed; minimal travel may be required.

Pharmacy Technician – Prior Authorizations

• Oversee operational activities in pharmacy distribution
• Train and mentor associates in distribution activities
• Ensure compliance with safety and quality standards
• Direct the warehouse work team to achieve objectives

Team Lead, Pharmacy

• Deliver professional outpatient pharmacy services and direct patient care in accordance with recognized medical standards and CSU Medical Staff Bylaws.
• Accurately document all care rendered using the Electronic Health Record (EHR) system, ensuring records meet Joint Commission and CMS standards for timeliness, legibility, and accuracy.
• Collaborate with multidisciplinary teams, including Community Health Nurses and Social Workers, to coordinate patient management for medical and social needs.
• Coordinate and integrate clinical information into the ongoing Health Care Program at the Service Unit and ensure timely follow-up care.
• Participate in quality monitors and performance improvement efforts as assigned.

• Performs clinical services to optimize drug therapy and documents clinical interventions.
• Provides medication therapy management using medication-related protocols including pharmacokinetics, parenteral nutrition, serum creatinine and other therapeutic drug monitoring by utilizing clinical software and assessing relevant information.
• Advises physicians on use of formulary medications and suggests alternative therapeutic options.
• Provides accurate, clinically relevant drug information to physicians, nurses, and allied health professionals.
• Participates in code arrest response by providing information and assuring availability of medications.
• Identifies, prevents, and investigates potential and real adverse drug reactions and medication errors.
• Provides information required for drug related patient counseling.
• Reviews and interprets physician orders properly; screens for incompatibilities, interactions, duplicates, or contraindications.
• Contacts nursing personnel and/or prescriber regarding any questions on drug orders.
• Dispenses and labels medication orders, including oral medications and IV solutions.
• Competent using various pharmacy technology products such as electronic health records, automated dispensing machines, compounders, unit dosing, tube system, and clinical decision support/data mining tools.
• Processes patient charges and credits.
• Assists in maintaining basic drug supply from vendors.
• Exercises applicable legal and professional controls on controlled substances.
• Verifies physical inventory for incoming/outgoing items.
• Documents waste from returned/expired/unusable controlled substances properly.
• Supervises and is responsible for oversight of supportive personnel, licensed and non-licensed, and organizes/directs as needed.
• Reports adverse drug reactions, medication errors, and good catches.
• Adheres to regulatory and organizational standards affecting patient care and safety as well as all hospital and departmental policies and procedures. Practices in a safe and cost effective manner.
• Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
• Ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
• Completes all company mandatory modules and required job specific training in the specified time frame.
• Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

Pharmacist – Inpatient Overnights

• Collaborate with Pharmacists, Pharmacy Technicians, providers and supporting staff at the clinics, and community pharmacies
• Filter out refill requests that the program doesn’t support
• Work up and screen patient charts for relevant information
• Follow standard procedures for documentation
• Answer phone calls from patients to process their refill requests
• Navigate various systems (Cerner, Genesys, and Microsoft applications)
• Involves being on the phones for the full day, answering incoming calls from patients related to their medication refills
• Requires availability every day of the week, Monday to Sunday, between the hours of 6AM and 7PM depending on business needs with potential for rotating Saturdays and holiday rotation

Senior Ambulatory Pharmacy Technician

• Report to a Supervising, Specialty Operations Pharmacist
• Inbound/Outbound calls to members
• Review prescriptions for accuracy
• Check for drug-drug interactions
• Evaluate appropriateness of disease state, dosage, directions and therapy
• Utilize electronic resources and guidelines to assist in professional decision making
• Develop and implement comprehensive care plans
• Monitor patient progress through regular assessments
• Provide medication education

Senior Specialty Consultative Pharmacist

• responsible for all daily pharmacy operations
• Overseeing the safe and secure operation of the Remote Dispensing Pharmacy
• Following pharmacy workflow procedures at each pharmacy workstation
• Contributing to positive patient experiences by showing empathy and genuine care
• Completing inventory activities, as permitted by law
• Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
• Remaining flexible for both scheduling and business needs
• Serving as a peer mentor for the onboarding, training, and development of new hires in the Telepharmacy Remote Dispensing Pharmacy
• Understanding and complying with all relevant federal, state, and local laws, regulations, professional standards, and ethical principles

Telepharmacy Technician

• Prepare, dispense, and compound medication under the direct supervision of a licensed pharmacist.
• Provide prescription support services for patients to ensure safe, appropriate, effective and efficient delivery of medication therapy.
• Provide excellent customer service skills, high attention to detail, strong problem solving, documentation and computer skills.
• Work closely with the multidisciplinary healthcare team to support pharmaceutical care activities, complete pharmacy billing activities, record keeping, reporting, inventory management, and arrange appropriate medication delivery.

Pharmacy Technician

• Define and develop standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace
• Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature
• Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
• Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
• Develop clinical criteria for review of non-formulary or non-preferred drug lists medications and communicate recommendations to clients
• Develop and design clinical edits to adjudicate claims and enhance drug utilization
• Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design
• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
• Provide clinical guidance and support to the assigned pharmacy technicians
• Provide support documentation and develop communication for the Pharmacy & Therapeutic (P&T) Committee review process and decisions
• Performs other duties as assigned

Clinical Formulary Pharmacist

• Ensure process efficiency – Communicate with patients to coordinate fertility plans and medications.
• Own the patient experience through resolving customer issues and ensuring 100% follow-up to customers while delivering an excellent customer service experience to all patients.
• Pay attention to detail – Accurately obtain and enter patient information, including shipping, insurance, and payment details.
• Be a team player – Escalate complex claims to the appropriate team for further action.
• Accurately perform data entry tasks and enter prescriptions into our system.
• Use the knowledge you gain from training, your problem-solving skills and support from your team to accurately process prescription claims so they will be dispensed accurately.
• Juggle multiple tasks without sacrificing attention to detail.
• Participate in special projects and perform other duties as it pertains to specific contract performance.
• Maintain required quality performance standards by delivering excellent customer service, adhering to phone and break schedules, and following established call handling guidelines.

Senior Pharmacy Technician

• Maintaining and supporting the Medicare and/or Medicaid formulary
• Providing clinical and economic data for formulary decisions
• Acting as a pharmacy resource for network physicians and health plan members
• Assisting with CMS mandated quality and compliance activities
• Serving as a pharmacy topic educator and training resource

Health Plan Pharmacist

• Assist in accurately reading, interpreting and entering prescriptions into the computer system
• Calculate doses and assign directions
• Accept proper insurance payment in a timely fashion
• Route incomplete or unclear prescriptions to the prescriber for clarification
• Enter incomplete prescription information once clarification has been obtained
• Assist with inbound phone calls; interact with customers and cross-functional team to answer questions, solve problems, provide education, and maintain our company’s reputation for high-quality service
• New patient enrollment, verification of insurance coverage and perform benefit investigations
• Process medication orders for both new and existing patients
• Working knowledge of insurance, health care, reimbursement-related requirements for dispensing, processing of new referrals, and providing customer education, and routine assessment and problem identification with appropriate escalation to a pharmacist

Pharmacy Care Technician

• Perform varied activities and moderately complex administrative/technical/operational/customer support assignments
• Manage daily worklists, conducting follow-ups, and prioritizing authorization requests
• Research and interpret insurance claims while using a broad array of clinical and informational resources
• Work directly with physician offices to initiate and complete prior authorization requests
• Ensure compliance with quality standards and departmental protocols
• Support the delivery of high-quality patient care and operational excellence

Specialty Pharmacy Technician, Prior Authorization

• Provide consultations through the patient's preferred method of communication (text, app messaging, email, or phone)• Perform initial assessments by gathering/reviewing chart notes to determine appropriateness of prescribing patterns• Perform clinical check-ins to monitor adherence, efficacy, adverse reactions, and drug interactions• Identify patients in need of clinical interventions and work collaboratively with providers to provide therapeutic recommendations resulting in improved patient outcomes• Ensure transition of care by transferring out prescriptions to appropriate pharmacies in situations where Alto is unable to fulfill a patient’s prescription• Being responsible for communicating prescription statuses to patients and providers• Work closely with Specialty Operations to provide quality care through the following:• Maintain an in-depth understanding of pharmacy billing including but not limited to Medicaid, Medicare, ADAP, commercial insurance, and foundation assistance programs to help troubleshoot patient cost barriers• Proactively identify and communicate areas of concern regarding scheduling/delivery procedures• Develop and provide drug information material designed to enhance Specialty Operations’ performance• Stay abreast of relevant and evolving regulatory and industry standards, ensure that appropriate action is initiated, and communicate these trends to applicable personnel• Work interactively with a local and/or dispersed team to achieve company business and compliance goals/objectives

Pharmacist jobs in Arizona

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