Pharmacist

• Serve as the bridge between clinical pharmacy practice and advanced health IT solutions.
• Influence how medications are ordered, managed, and optimized across the ambulatory enterprise.
• Partner with clinicians, IT, and operational leaders to design, build, and continuously improve Epic and related pharmacy systems.
• Provide analysis to translate pharmacy workflow and content requirements into software application solutions through collaboration with owners, teams, and various stakeholders.
• Acts in role as pharmacy informatics expert leveraging knowledge of build as opportunity to apply expertise to solve organization medication related problems.
• Maintain expertise and experience in multiple system applications to ensure visibility and understanding of broad workflows.
• Responsible for clinical and business transformation related to development, implementation, and evaluation of the electronic health record (EHR), as well as other clinical pharmacy information systems.
• Participate throughout design, build, and monitoring phases of comprehensive medication system software with collaboration from owners, teams, and various stakeholders.

Pharmacist Clinical Informatics Lead

• Remote order entry and CPOE order evaluation and verification
• Assure acquisition or renewal of all pharmacy staff licenses
• Performs as staff pharmacist as needed
• Physician and nursing consultations
• Clinical medication dosing services
• Review and monitoring of profiles and lab values for therapeutic outcomes
• Coordinates access to medications according to facility policy and procedures, and in compliance with state and federal laws and regulations.

PRN Pharmacist

• Dispense drugs prescribed by physicians and other health practitioners and provide information to patients about medications and their use.
• May advise physicians and other health practitioners on the selection, dosage, interactions, and side effects of medications.
• Provides safe and effective pharmaceutical care to customers while working with support staff.
• Serve as a resource for expert opinion on medication therapy for other clinical professionals.
• Work cooperatively with Pharmacy staff in their professional development and the development of clinical duties assigned to them.
• Supervise and check all work performed by technicians.
• Participate in maintenance of records of pharmacy transactions as required by state and federal laws.
• Assist with inventory control procedures such as ordering and receiving of medications/supplies.

Pharmacist – Retail, LTC Pharmacy

• Pre-verification of prescriptions and counseling for RedBox Rx patients in accordance with all state and federal statutes and regulations.
• Assists with processing prescription orders from RedBox Rx providers and provides information on visit and treatment related inquiries.
• Assists RedBox Rx patients via phone, chat and email.
• Create and maintain patient profiles.
• Perform drug utilization review and pre-verification of prescriptions.
• Provides counseling to RedBox Rx patients in accordance with all state and federal statutes and regulations.
• Works with co-workers as a team to ensure strict adherence to standard operating procedures and facility policies.
• Performs other related job duties and special projects as required.
• Handles inquiries that require a pharmacist’s expertise and judgment.
• Assists in training other employees.
• Assists in adherence to quality assurance standards.
• Adheres to all statutes and regulations pertaining to a pharmacist.

Registered Pharmacist

• Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs
• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations
• Participate in clinical quality audits and inter-rater reliability testing
• Provide internal team support for escalations and questions
• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Prior Authorization Pharmacist

• Use Oscar and vendor tools to determine eligibility, screen for required documents, create, process, and properly track pharmacy prior authorization requests
• Prepare, organize, and distribute pharmacy prior authorization requests for review by pharmacist/physician and respond to pharmacist/physician requests for additional information
• Collect relevant medical information (via telephone, fax, and portal) and apply the appropriate PA criteria, clearly documenting all communication and decision making
• Meet required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review
• Communicate oral and written prior authorization outcome notifications that comply with standards and requirements for content and accuracy
• Compliance with all applicable laws and regulations
• Other duties as assigned

Prior Authorization Pharmacy Technician

• Troubleshooting electronic, faxed, and verbal prescriptions via routing to appropriate channels into pharmacy systems
• Review and update patient insurance using payer portals and phone resources
• Determining appropriate situations for a prior authorization (PAs) need via payer-specific tools; troubleshoot denials and escalations
• Utilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers
• Navigate operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectively
• Follow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and more
• Proactively document process notes with clear routing details, claim updates, and actions taken
• Communicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentation
• Collaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusals
• Maintain productivity in the Reroute queue even during extended call hold times (e.g., multitask during insurance calls)
• Ensure all patient, prescriber, and partner communications are clear, professional, and aligned with Phil’s standards of care

See all jobs on JobTailor