Pharmacist

• Reviews patient charts to verify most recent provider visits and ensure eligibility for refill under the EMRC collaborative practice agreement.
• Gathers and reviews relevant clinical information (e.g., labs, monitoring parameters, and medication history) to support refill requests.
• Prepares and documents refill authorization requests using pharmacy technology systems in accordance with state law, policies, and protocols.
• Ensures all required clinical criteria and documentation are complete prior to pharmacist review.
• Routes completed refill requests to the pharmacist for final verification and processing.
• Communicates with pharmacists and care team members regarding missing information, concerns, or clarification needs.
• Identifies potential safety concerns or gaps in care and escalates appropriately to the pharmacist.
• Maintains accurate and compliant documentation in the patient record.
• Works collaboratively as part of a large, remote team; demonstrates strong interpersonal skills, professionalism, and the ability to build positive working relationships across the care team.

Pharmacy Technician – Refill 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

Patient Care Pharmacist

• Lead, coach, mentor, and develop a team of Pharmacy Executives to ensure consistent delivery of exceptional client experiences and achievement of organizational objectives.
• Develop and execute the strategic vision for the Pharmacy Commit programs, ensuring alignment with Vizient's pharmacy and enterprise objectives.
• Work with leadership and client management regarding any key account and renewal of key accounts their team manages.
• Establish and monitor KPIs related to client satisfaction, contract activation, utilization, retention, and financial performance.
• Serve as executive sponsor for key Pharmacy Commit members, supporting executive business reviews, renewals, escalations, and strategic planning.
• Identify opportunities to expand participation, increase contract utilization, develop new offerings, and improve overall member value.
• Accountable for achieving revenue, savings, participation, and growth goals.
• Monitor program financial performance and recommend strategies to improve value delivered to members and Vizient.
• Standardize operational processes, establish best practices, and lead continuous improvement initiatives across the Pharmacy Commit organization.
• Identify emerging pharmacy trends, market opportunities, and innovative service offerings that enhance member value and strengthen Vizient's market leadership.
• Lead cross-functional collaboration across Pharmacy Sourcing, Consulting, Contracting, Analytics, Legal, Operations, Client Management, and Sales to deliver integrated pharmacy solutions.
• Drive contract performance by improving activation, utilization, compliance, and member adoption of pharmacy solutions.
• Provide executive oversight for Statements of Work, participation agreements, renewals, and contractual relationships to ensure alignment with strategic business objectives.
• Provide ongoing coaching and developmental support to the pharmacy teams.
• Establish and maintain a best-in-class client experience through proactive engagement, executive partnership, issue resolution, and measurable value delivery.

Senior Director, Pharmacy Commit

• Provide leadership and strategic direction to the Pharmacy Commit member facilities, distribution partners, and suppliers in collaboration with Vizient leadership and staff.
• Lead value-based initiatives, performance improvement, and revenue enhancement programs.
• Leverage clinical expertise, contracting strategies, and data-driven insights to deliver measurable value while cultivating strong member and partner relationships.
• Demonstrate a collaborative, team-based approach and take accountability for advancing pharmacy program success across highly engaged health systems.
• Manage new opportunities across contracting, policy, and analytics services.
• Drive contract performance by improving activation, utilization, compliance, and member adoption of pharmacy solutions.
• Build and maintain relationships with stakeholders up to the VP level to align strategic and operational priorities.
• Establish and monitor KPIs related to client satisfaction, contract activation, utilization, retention, and financial performance.
• Serve key Pharmacy Commit members, supporting executive business reviews, renewals, escalations, and strategic planning.
• Conduct voice-of-customer sessions to gather insights and refine program offerings.
• Oversee cross-functional project execution to deliver value-driven contracts and market insights.
• Enhance tools and processes to improve contract visibility and utilization.
• Analyze stakeholder data to identify growth opportunities and deliver actionable insights.
• Forecast revenue, pursue organic growth opportunities, and support business development efforts.
• Develop and deliver training, presentations, and customized business reviews for stakeholders.
• Diagnose healthcare challenges and recommend scalable, innovative solutions.

Pharmacy Executive IV

• Assists the pharmacist in collecting clinical and other patient information and maintaining appropriate records as required by regulation and policy.
• Utilizes pharmacy technology effectively to prepare medication orders for dispensing, performs calculations as necessary, and compounds medications for accurate compounding as appropriate to practice site, in accordance with state law, policies, procedures, and protocols.
• Accurately fills and maintains medication supplies including verifying and monitoring controlled substance inventories to ensure security, accuracy, cost effectiveness, and 340B/Charging management as required to practice site.
• Communicates with caregivers regarding responsibilities, identified concerns, and participates in quality and patient safety initiatives.

Pharmacy Technician – Prior Authorization

• Lead a team of engaged caregivers to provide the best possible experience for our customer and supplier stakeholders
• Own the operational performance metrics, internal improvement initiatives, and development of standards
• Effectively communicate with, coach, train, and develop the Category Management team
• Manage the daily managerial and strategic aspects of the Category Management teams with the greatest GPO portfolios
• Initiate continuous quality improvement by evaluating and enhancing operations
• Project management capabilities for high-visibility projects
• Responsible for both internal and external communications to maximize supplier awareness and utilization

Senior Director, Category Management – Pharmacy and Children’s Health

• Responsible for the design, configuration, and quality assurance of prior authorization (PA) criteria
• Ensures clinical intent is accurately translated into compliant, efficient system logic through structured QA/QC and validation processes
• Collaborates with internal teams and external clients to support delegated PA services and drive system optimization
• Build decision trees and question sets from PA criteria for prior authorization review
• Perform comprehensive quality control (QC) review of decision trees, questionnaires, and authorization logic to ensure alignment with clinical intent, regulatory requirements, and business rules
• Conduct quality assurance (QA) validation of configured criteria and decision paths
• Ensure PA questionnaires are configured with the appropriate authorization parameters for approval
• Collaborate with external clients for delegated clinical PA systems services
• Manage setup, contracting, and relationships with prior authorization external vendors
• Mapping of prior authorization member and prescriber letter templates in the prior authorization system
• Validate that denial rationales, approval language, and conditional messaging accurately reflect clinical criteria and system outputs
• Creation and maintenance of Commercial and Government denial verbiage templates
• Develops and maintains policies and procedures for creation and maintenance of clinical criteria questions and letter templates
• Establish and maintain QA/QC standards, documentation, and audit processes for decision trees, criteria configurations, and letter templates
• Identify PA reporting needs and collaborating with appropriate stakeholders to develop reports
• Respond to requests for clinical criteria from members and prescribers
• Attend formulary meetings and presentations

Prior Authorization Systems Pharmacist

• This position supports and promotes ICU Medical products and services through pre-sales activities, product presentations, product education, in-service training, problem solving and post sales ongoing customer satisfaction.
• Align with the Regional Sales Managers, Strategic Account Executives and integrate activities with the Infusion Systems team as well as peer-to-peer clinical relationships with ICU Medical customers.
• Responsibilities in supporting the Enterprise Sales Team (EST) in working with the largest national opportunities.
• Performance goals will be tied to annual ICU Medical device signing’s/revenue objective for the specific coverage this role is aligned with.
• Liaise with Marketing, Quality, Operations and Manufacturing regarding complaints, problems, new products and revisions as well as special projects or issues.

Enterprise Pharmacy Manager – Infusion Systems

• Supervises and mentors the Payer Collections Management team
• Conducts regular performance evaluations, provides constructive feedback, and implements development plans to enhance team skills and productivity
• Coordinates and leads team meetings to ensure alignment with company goals and objectives
• Develops and implements training programs to keep the team updated on the latest industry standards and regulatory changes
• Drives a continuous improvement mindset, leveraging process/technology to drive efficiency across the Payer Collections function
• Manages the process of collections and assists with receiving, batching, posting, balancing, and archiving payments and adjustments to accounts receivable
• Reviews and approves adjustments within eligible range of $250.00 and under
• Identifies inefficient processes and makes recommendations to automate or eliminate
• Addresses and resolves any issues related to claims denials, underpayments, or patient disputes.

Collection Manager – Infusion Pharmacy

• Provide leadership and strategic direction to the Pharmacy Aggregation Group member facilities, distribution partners, and suppliers in collaboration with Vizient leadership and staff.
• Lead value-based initiatives, performance improvement, and revenue enhancement programs.
• Leverage clinical expertise, contracting strategies, and data-driven insights to deliver measurable value while cultivating strong member and partner relationships.
• Demonstrate a collaborative, team-based approach and take accountability for advancing pharmacy program success across highly engaged health systems.
• Manage new opportunities across contracting, compliance, policy, and analytics services.
• Build and maintain relationships with stakeholders up to the VP level to align on strategic and operational priorities.
• Conduct voice-of-customer sessions to gather insights and refine program offerings.
• Oversee cross-functional project execution to deliver value-driven contracts and market insights.
• Enhance tools and processes to improve contract visibility and utilization.
• Analyze stakeholder data to identify growth opportunities and deliver actionable insights.
• Forecast revenue, pursue organic growth opportunities, and support business development efforts.
• Develop and deliver training, presentations, and customized business reviews for stakeholders.
• Diagnose healthcare challenges and recommend scalable, innovative solutions.

Pharmacy Executive III

• Submit and manage prior authorization requests for medications only, as required by insurance carriers.
• Review physician medication orders, supporting clinical notes, and documentation to ensure prior authorization requests are complete and accurate.
• Track medication prior authorizations from submission through approval, denial, or request for additional information.
• Follow up with payers to ensure timely determinations and minimize delays in medication access.
• Coordinate prescription refills in collaboration with providers and pharmacies.
• Serve as the primary point of contact for pharmacies regarding medication-related questions, clarifications, and insurance requirements.
• Support enrollment and coordination of patient assistance programs for medications when applicable.
• Communicate with patients regarding medication-specific authorization requirements, timelines, approvals, denials, and next steps.
• Identify medication prior authorization denials and coordinate appeals when appropriate.
• Manage assigned work queues, tasks, and follow-ups to meet defined turnaround times.
• Maintain compliance with payer requirements, HIPAA, and organizational policies.

PSC, Medication Prior Authorization, Pharmacy

• Perform all tasks relative to in-house and external communications with TrueScripts members, doctor’s offices’ and pharmacies
• Respond to member and client inquiries
• Assist members with appropriate prescription benefits
• Problem solve any issues in our claims system
• Provide administrative support to Member Care Leadership, Client Success & Executive teams
• Work Monday - Friday 8 am to 5 pm Mountain time

Pharmacy Technician – Member Care Advocate

• Support patients on anticoagulation therapy across Colorado and Montana
• Facilitate medication access and resolve barriers
• Collaborate with pharmacists and providers for safe patient care
• Coordinate lab monitoring and adhere to provider recommendations
• Manage applications for home monitoring devices and related services
• Perform clinic administrative tasks, including scheduling visits

Pharmacy Technician – Anticoagulation

• Determines the suitability of individual patients for home care
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care
• Assesses patients' suitability for home care in accordance with Option Care policies
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients
• Provides medication-use education to Option Care staff, other professionals, home care patients and/or their caregivers
• Participates in the process for assessing, managing, and reporting medication-related incidents and equipment error and/or failures
• Maintains confidentiality of patient and proprietary information

Clinical Pharmacist

• Perform care management activities for members with complex and chronic care needs
• Ensure high quality, cost-effective care and appropriateness of treatment
• Partner with physicians and/or pharmacists to interpret appropriateness of care
• Collaborate with providers to assess consumer needs and plan for adverse events
• Conduct clinical assessments to develop individual care plans and goals
• Monitor and evaluate effectiveness of care management plans

Clinical Nurse Coordinator – Telephonic

• 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

Patient Care Pharmacist – Short Term Assignment

• Conducts benefits investigations for all new patients and existing patients with insurance changes to determine coverage for enteral nutrition products and services
• Ensures all required documentation—including initial and ongoing forms—is accurately completed, clearly legible, and filed in the patient chart in accordance with Amerita’s Enteral Nutrition Requirements
• Coordinates and schedules the timely dispensing of enteral formulas and supplies; actively manages inventory and patient support throughout the course of care
• Obtains and documents patient supply inventories and compliance updates and communicates relevant information to appropriate clinical and operational teams
• Monitors and follows up on active insurance authorizations, physician orders, clinical documentation, and outstanding paperwork to ensure continuity of care
• Triages patient concerns and routes to clinical staff as needed, using established screening protocols
• Actively participates in departmental meetings, branch operations and quality improvement initiatives as assigned
• Complies with all applicable Accreditation, OSHA, FDA, state, local and federal regulations related to infusion pharmacy and home medical equipment

Enteral Technician – Infusion Pharmacy

• Verify and dispense medications within corporate and regulatory guidelines
• Track order status
• Provide oversight and quality assurance to pharmacy technicians
• Interpret physicians’ or prescribers’ prescriptions
• Verify and confirm validity of controlled substances
• Back up other pharmacists as needed
• Perform additional duties as assigned by management
• Train less experienced pharmacists

Per Diem Staff Pharmacist

• Verifies member information and inputs data for the pharmacists
• Serves as mentor for less experienced staff
• Serves as department representative on intra-departmental initiatives
• Assists in formal training of associates and process improvement initiatives
• Conducts reviews by utilizing appropriate scripted algorithms in compliance with department guidelines
• Develops working partnerships with physicians and healthcare service providers
• Refers treatment plans to peer clinical reviewers in accordance with established criteria/guidelines

Pharmacy Technician II, BioPlus Specialty Pharmacy

• Collaborating with healthcare providers and/or pharmacists
• Driving personalized health management and improving health outcomes
• Performing care management activities within the scope of licensure
• Ensuring medically appropriate, high quality, cost-effective care
• Interpreting appropriateness of care and intervention planning
• Conducting clinical assessment to develop and implement care plans
• Monitoring and evaluating effectiveness of care management plans

Pharmacist jobs in Colorado

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