Pharmacist

• Support integration delivery for customers and partners
• Conduct technical discovery sessions with stakeholders (customers, PMS vendors, and pharmacies)
• Translate business and technical needs into structured requirements, data mappings, and test plans
• Collaborate with Engineering on implementation plans and testing workflows
• Monitor integration timelines, risks, and deliverables to ensure successful and compliant launches
• Serve as the day-to-day technical liaison for pharmacy and technology partners
• Translate technical information into actionable items for internal teams and external stakeholders
• Maintain clear documentation of integration decisions, changes, and partner specifications
• Maintain structured documentation for all integration flows, schemas, validation protocols, and escalation processes
• Contribute to building scalable integration frameworks, including standardized workflows and governance models
• Partner with Engineering to improve visibility into integration health (error rates, throughput, schema issues)
• Assist in triaging and resolving integration issues quickly and accurately
• Track metrics and help reduce integration-related escalations or delays
• Work closely with Product, Customer Experience, Support, and Engineering to ensure integrations improve workflows and outcomes
• Help internal teams understand integration workflows, expectations, and responsibilities

Pharmacy Integrations Manager

• Work collaboratively with quality management to support HEDIS adherence projects
• Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes
• Review pharmacy services recommended for denial and investigate data from plan providers
• Assist in the management of members by collecting pertinent information from plan providers and pharmacy data systems
• Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives
• Serve as a pharmacy liaison and resource person to plan pharmacies and members
• Assist the Pharmacist with monitoring and evaluation of pharmacy utilization

Pharmacy Benefit Coordinator

• evaluate prescription claims data
• develop and present clinically driven recommendations and initiatives
• evaluate utilization management criteria and operational impact
• support and maintain configuration requirements
• research policy and regulatory drivers
• coordinate with operations, claims, network, reporting, and other internal stakeholders
• analyze clinical, utilization, prescribing, claims, and pricing data
• develop, implement, manage, and evaluate utilization management programs

Clinical Pharmacist

• Provide pharmacist care by collaborating with multidisciplinary healthcare teams
• Promote guidelines and policies to improve care for patients
• Ensure patient compliance and minimize risk associated with high risk medications
• Collect data and submit as required by various pay-for-performance initiatives

Pharmacy Quality Specialist

• Support pharmacy training, education, and operational excellence across retail pharmacy locations
• Lead the onboarding and training of newly hired pharmacists
• Assist with the completion of new hire training materials
• Identify training gaps and operational opportunities
• Provide feedback and recommendations to improve operations
• Support compliance initiatives through education and coaching
• Develop educational resources and coordinate rollout activities

Regional Pharmacy Trainer

• 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

• Provides strategic planning and account management for large accounts
• Directs and manages the administration of contractual requirements and obligations
• Manages the new and renewal implementation process for accounts
• Interfaces with operations to ensure smooth delivery of services
• Maintains ongoing account relationships at multiple levels throughout the customers' organizations
• Makes recommendations for improvements to meet customers' expectations
• Provides both on-site and off-site customer service
• Coordinates open enrollment meetings, renewal process and training sessions
• Invoicing and tracking of revenue
• Develop and maintain program SOPs

Account Service Manager

• 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

• 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

• Conduct thorough medication reviews for pediatric patients, ensuring appropriateness, safety, and efficacy
• Collaborate with healthcare providers to develop and implement comprehensive medication management plans for pediatric patients
• Provide remote consultations to caregivers to address medication-related concerns
• Educate pediatric patients and their caregivers on proper medication use, potential side effects, and the importance of adherence
• Work collaboratively with interdisciplinary healthcare teams to ensure seamless communication and coordination of care
• Maintain accurate, timely and up-to-date documentation of medication management interventions
• Stay abreast of the latest developments in pediatric pharmacotherapy through ongoing education and training
• Participate in quality improvement initiatives to enhance the overall effectiveness of medication management services

Pediatric Pharmacist – MD Licensure

• 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

• Support the pharmacy team in delivering operational and service excellence
• Assist patients and customers to deliver an exceptional experience
• Ensure that pharmacy operations run smoothly
• Fill patients’ prescriptions promptly, safely, and accurately
• Complete basic inventory activities
• Provide caring service that exceeds patient expectations
• Follow all company SOPs at each workstation

Pharmacy Technician

• Manage real time insurance claims while providing customer service to clients
• Analyze and approve claims that need to be adjudicated
• Determine coverage and apply medical necessity guidelines
• Identify and clarify any discrepancies to complete the adjudication process
• Work in cohesion with the CIC Department, Prior Authorization, and Billing Departments
• Submit claims and add appropriate corrections
• Ensure accurate and timely processing of real time claims
• Work directly with third party payers for claim resolution
• Communicate with facilities on claim issues that will need attention by the facility
• Resolve any discrepancies and secure proper reimbursement
• Any other duties associated with adjudication
• Create Prior Authorizations and notify Authorization team
• Follow federal and state regulations
• Adhere to company policies and procedures
• Follow HIPPA guidelines and regulations

Pharmacy Adjudication Specialist

• 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

• support the pharmacy team in delivering operational and service excellence within your store
• assist the pharmacy team to ensure that pharmacy operations run smoothly
• contribute to positive patient experiences by showing empathy and genuine care
• complete basic inventory activities
• contribute to a high-performing team, embracing a growth mindset

• Serve as the clinical subject matter expert on the account team
• Provide clinical consulting services through analyzing drug utilization patterns and trends for Pharmacy Benefit Management (PBM) clients
• Leverage presentation skills by delivering quarterly and annual clinical insight reporting to customers
• Educate clients on CVS Health’s clinical programs and making strategic solution recommendations
• Update client-specific clinical benefit elections
• Maintain above average client satisfaction scores and contribute to account team’s ability to increase client revenue

Pharmacist jobs in Maryland

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Pharmacy Integrations Manager

Pharmacy Benefit Coordinator

Clinical Pharmacist

Pharmacy Quality Specialist

Regional Pharmacy Trainer

Pharmacy Coordinator

Pharmacy Contract Consultant

Account Service Manager

Senior Pharmacy Performance Specialist

Patient Care Pharmacist – Short Term Assignment

Pediatric Pharmacist – MD Licensure

Senior Pharmacist – Strategy

Pharmacy Technician

Pharmacy Adjudication Specialist

Clinical Pharmacist – Medicare STARS

Pharmacy Technician

Pharmacist – Clinical Advisor