Pharmacist

• Manages the lifecycle of payor contracts including review, interpretation, implementation, amendments, and renewals.
• Serves as subject matter expert on contract terms including reimbursement methodologies, fee schedules, carve-outs, drug-level pricing, site-of-care requirements, and network participation.
• Tracks contract expirations, renewals, and amendments to ensure uninterrupted access and compliance.
• Analyzes reimbursement methodologies (AWP, WAC, ASP, MAC, per diem, case rates, nursing fees, supplies, admin fees) and identifies reimbursement risks, underpayments, and revenue leakage.
• Partners with finance and revenue cycle to resolve reimbursement discrepancies and payment disputes and supports forecasting, margin analysis, and payor profitability reporting.
• Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
• Supports payor mapping tied to BIN/PCN, NCPDP, NPI, and taxonomy configurations.
• Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D, Medicaid, 340B, and anti-kickback requirements; maintains audit-ready documentation; and supports internal/external audits.
• Acts as the primary contract resource for internal teams; provides contract education to support accurate billing and payor compliance; and supports payor escalations, access issues, and network participation inquiries.

Payor Contract Manager – Infusion

• Lead end-to-end pharmacy testing across SIT, UAT, Regression, Parallel Testing, and Production Validation to ensure quality delivery of PBM and Medicaid pharmacy solutions.
• Develop and manage test strategy, plans, schedules, and execution governance, ensuring alignment with business requirements, CMS guidelines, and state Medicaid regulations.
• Oversee pharmacy functional validation, including claims adjudication, drug pricing, formulary management, prior authorization, rebates, NCPDP transactions, and financial reconciliation processes.
• Manage defects and cross-functional coordination among business SMEs, vendors, developers, conversion teams, and testing resources to ensure timely issue resolution and testing readiness.
• Provide leadership reporting and stakeholder communication by tracking quality metrics, risks, issues, and test progress.

Pharmacy Test Manager

• Prepares, dispenses and verifies medications ordered for an assigned group of patients
• Assesses, evaluates and monitors patient drug therapy
• Provides drug information, patient education, and other clinical pharmacy services
• Evaluates all physician orders based on a clinical assessment of the patient
• Assures the safe and accurate preparation and dispensing of medications
• Manages drug therapy to optimize patient outcomes
• Maintains professional and technical knowledge, licensures and certifications through continuing education

Inpatient Pharmacist

• Monitors and evaluates drug therapy for appropriateness based on the patient’s health status, institutional criteria/guidelines, and cost efficient measures
• Assumes responsibility for the management of pharmacy services of assigned areas for the goal of improving patient outcomes
• Provides drug information to health care personnel and participates with appropriate medical team on patient care rounds
• Precepts pharmacy students and residents and provides in-services/education to pharmacy and other health care providers when appropriate
• Handles refill requests for Primary Care
• Expedites the refill process, and saves providers' time responding to patients' refill requests, while promoting patient safety
• Completes E-Consults for topics related to drug information, dose adjustments, order navigation, etc.

Ambulatory Clinical Pharmacist – Refill Center

• Participating in program management activities
• Supporting and facilitating the distribution of reports and communication documents
• Assisting with process improvement initiatives

Clinical Support Coordinator

• Respond to basic customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions
• Develop and maintain positive customer relations
• Interact with internal and external customers to provide claims, customer service, and/or membership support
• Complete necessary research to provide proactive, thorough solutions
• Display ownership of service requests ensuring high quality resolution and follow-thru
• Support and guide the customer with their personal options and decisions

Pharmacy Customer Associate II – BioPlus Specialty Pharmacy

• Provide front line staff guidance
• Ensure effective and efficient delivery of Pharmacy call center services
• Respond to physician and pharmacy network provider inquiries
• Review member claims history
• Educate and assist pharmacy network providers

Pharmacy Coordinator

• Manage pharmacy contracts including contract development, negotiation, renewal, termination, execution and hard copy/electronic storage with minimal supervision/direction.
• Collaborate directly with internal, external, and vendor legal counsel teams during the contract negotiation process, up to and including the point of contract execution.
• Interface with the Organization’s stakeholders in the management of the pharmacy and vendor contract portfolio in order to maximize value and mitigate risk to the organization.
• Partner directly with the Pharmacy Services leadership team on contracting initiatives related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio.
• Provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative initiatives.
• Addresses, investigates and resolves pharmacy contract matters / issues, post contract execution.

Pharmacy Contract Consultant

• Conduct evidence‑based evaluations of drugs and drug classes using accepted clinical methodologies
• Develop and maintain Gainwell TCRs to support recommendations for Preferred Drug List (PDL) management
• Apply evidence‑based medicine principles to develop clinical PA recommendations and supporting documentation
• Review clinical and pricing data to support the Gainwell clinical PDL team
• Review and monitor prescription claims data and prescribing patterns identified as outliers
• Contribute to the development of Clinical Services publications produced on a weekly, monthly, quarterly, and as‑needed basis
• Support continuous quality improvement by identifying enhancement opportunities
• Provide support to client accounts during implementation, maintenance, and ongoing operations
• Promote collaboration and alignment across the pharmacy business

Clinical Pharmacist

• Maintain and ensure complete and appropriate drug therapy in a multidisciplinary pharmaceutical care environment
• Prepare, dispense and verify medications ordered for an assigned group of patients
• Assess, evaluate and monitor patient drug therapy; provide drug information, patient education, and other clinical pharmacy services
• Manage operations of the pharmacy in compliance with state and federal regulations

Infusion Pharmacist – PRN

• Inputs patient data and prescription information into pharmacy information management system
• Assists the Pharmacist in filling prescription orders, as permitted by the State Boards of Pharmacy
• Prepares medications for dispensing, packaging and shipment.
• Enters medical supply orders in pharmacy system
• Maintains knowledge of and abides by applicable pharmacy laws and regulations
• Takes inventory, places orders, checks in drugs and supplies, stocks shelves and removes out-of-date items from the inventory
• Communicates with all customers (patients, clinics, care-givers, physicians) in a pleasant and professional manner

Hospital Pharmacy Technician, PRN

• Commit to the course schedule during the 15-month training program
• Assume responsibility to meet competencies and learning milestones outlined in the program
• Report to the program’s designated training partner for theoretical instruction
• Designate time for crucial job training in the designated department during clinical rotations
• Complete face-to-face clinical theory instructions, simulations labs, and virtual learning platform
• Adapt behavior to specific patient populations
• Perform other related duties as assigned.
• Remain knowledgeable of laws, regulations, and accreditation standards pertaining to the assigned area of responsibility.

Apprentice Pharmacy Technician

• Acts as a liaison between Finance, Analytics, IT and Pharmacy
• Focus on understanding data content and the business logic behind all data transformation for reporting
• Develop expertise in the data and systems leveraged internally and externally for the Pharmacy Department
• Gather requirements, perform analysis, support the development and testing of processes
• Understand and document the applications, data and associated technologies for the Pharmacy Department

Senior Pharmacy Performance Specialist

• Assist the pharmacist with daily tasks
• Assist with preparation and distribution of comprehensive medication reviews (CMRs) and other medication interventions
• Compare medication lists and accurately reconcile medications
• Send out pharmacy and medical provider communications via phone or fax
• Assist pharmacist with medication interventions
• Call pharmacies to verify prescription information and readiness to ensure member access and adherence
• Assist with member access to medications consistent with specific medication and prescription benefits
• Work collaboratively with Monogram Health care managers to assist with improving access and outcomes to medications.
• Maintain pharmacy technician certification
• Other administrative tasks to drive health outcomes

Pharmacy Technician

• Review medication lists to eliminate barriers to therapy
• Contact pharmacies for medication refills
• Document care and communicate with providers
• Facilitate access to medications for financially challenged members

Clinical Pharmacy Technician

• Monitor FDA-approvals, drug manufacturer pipelines, and assess drug utilization reports
• Develop and execute the organization's drug formulary
• Develop pharmacy utilization management policies
• Maintain compliance with federal, state, and other mandates
• Write drug monographs for committee review
• Develop and implement management programs including prior authorization, dose and duration edits, quantity limits, step-care edits, and others
• Provide guidance to more junior team members
• Participate in evaluating, implementing, and monitoring pharmacy benefit-focused federal and state legislation
• Develop, execute, and monitor pharmacy-specific strategic initiatives
• Present recommendations to leadership

Senior Pharmacist – Strategy

• Demonstrates comprehensive knowledge of current pharmacotherapeutic principles, medical terminology, pathologies, disease state and population management, age appropriate therapy, and other information as related to medical and/or pharmaceutical care management.
• Work with Sentara Health Plan (SHP) members to close medication-related gaps in care
• Work on the referrals from the team
• Counseling members on their medication therapy

Clinical Pharmacist – Medicare STARS

• Prepares, dispenses and verifies medications ordered for an assigned group of patients
• Assesses, evaluates and monitors patient drug therapy
• Provides drug information, patient education, and other clinical pharmacy services
• Evaluates all physician orders based on a clinical assessment of the patient
• Manages drug therapy to optimize patient outcomes

Pharmacist jobs in Louisiana

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Payor Contract Manager – Infusion

Pharmacy Test Manager

Inpatient Pharmacist

Ambulatory Clinical Pharmacist – Refill Center

Clinical Support Coordinator

Pharmacy Customer Associate II – BioPlus Specialty Pharmacy

Pharmacy Coordinator

Pharmacy Contract Consultant

Clinical Pharmacist

Infusion Pharmacist – PRN

Hospital Pharmacy Technician, PRN

Apprentice Pharmacy Technician

Senior Pharmacy Performance Specialist

Pharmacy Technician

Clinical Pharmacy Technician

Senior Pharmacist – Strategy

Clinical Pharmacist – Medicare STARS

Inpatient Pharmacist

Hospital Pharmacy Technician