Pharmacist

• Support pharmacy benefit operations by coordinating clinical and administrative workflows.
• Review documentation and communicate with members, providers, pharmacy staff, clients, and internal stakeholders.
• Ensure accurate, timely, and compliant processing of pharmacy benefit requests while supporting service quality and operational efficiency.
• Support the clinical team in prior authorization case reviews and administrative tasks related to prior authorizations and appeals.
• Assist member services, members, healthcare providers, and internal stakeholders with claim resolution, coverage questions, formulary questions and pharmacy benefit determinations.
• Perform other assigned duties and assist with special projects.

Clinical Associate – Pharmacy Technician Certification Required

• Assist in the development, preparation, and maintenance of protocol-specific documents
• Support setup of study binders, electronic files, and documentation templates for each trial
• Assist in the preparation, labeling, and dispensing of investigational drugs per protocol and Good Clinical Practice (GCP) guidelines
• Help manage inventory tracking, including receiving study drug shipments and monitoring refrigerator/freezer logs
• Provide study participants with protocol-specific medication instructions
• Maintain accurate, real-time documentation for investigational drug accountability
• Support compliance with FDA, IRB, sponsor, and Virginia Board of Pharmacy regulations

Pharmacy Graduate Intern

• Responsible for screening orders, specializing in research, review and entry of prescription overrides
• Ensure patients receive their correct prescriptions in a timely manner
• Direct questionable prescriptions to the prescriber for clarification
• Meet specified production and quality standards as defined by the management team
• Perform other pharmacy functions as required

Pharmacy Technician – Non Clinical Diverts

• Collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations
• Conduct assessments of drug interactions
• Identify therapeutic duplications
• Evaluate renal and hepatic dosing adjustments
• Address evidence-based gaps in care
• Support STAR-related pharmacy initiatives
• Identify barriers to medication affordability and adherence

Clinical Pharmacist – MTM

• 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 in accurately reading, interpreting and entering prescriptions into the computer system
• calculate doses and assignment of 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
• include new patient enrollment, verification of insurance coverage and perform benefit investigations and processing of medication orders for both new and existing patients
• require a working knowledge of insurance, health care, reimbursement-related requirements for dispensing, processing of new referrals, and providing customer education
• routine assessment and problem identification with appropriate escalation to a pharmacist
• independent and self-directed performance

Pharmacy Care Technician

• Enter concomitant medications into EMR and prepare investigational products per protocol.
• Compound IV and oral investigational and conventional agents, including hazardous medications, with precision and adherence to USP.
• Manage IP and conventional drug inventory, supplies, and documentation in Vestigo and eDOCs.
• Assist with audits, monitor visits, and SOP development; provide coverage for team members as needed.
• Orient new staff and maintain required certifications and continuing education.
• Upload and manage protocol and credential documentation using eDOCs and Vestigo.

Investigational Drug Services Pharmacy Technician

• Directing the development, maintenance and on-going oversight for clinical and operational programs and processes for Enterprise Pharmacy Government Programs of Medicare and Medicaid.
• Includes overseeing CMS Stars and Medicaid Quality Withhold Programs, Medicare and Medicaid operational and reporting activity.
• Monitoring pharmacy cost and utilization trends.
• Developing and maintaining reimbursement methodologies for pharmaceuticals.
• Oversight of contracted pharmaceutical benefit managers (PBM).
• Collaborating with management and professional staff within HCSC and with external health care providers to improve quality of healthcare, optimize health outcomes, and improve the cost of care.

Clinical Pharmacy Manager

• 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

Patient Care Pharmacist – Short Term Assignment

• Accurately and efficiently enter new or renewed orders
• Adjudicate insurance claims and resolve rejections
• Properly handle order exceptions and clarifications such as refill-too-soon, invalid orders, etc.
• Communicate effectively with leadership and peers
• Achieve or exceed productivity standards in a fast-paced environment

Pharmacy Technician, Order Entry

• Deliver compassionate care to patients
• Manage all assigned pharmacy workstations and tasks
• Support the team's ability to fill patient prescriptions accurately
• Provide caring service that exceeds customer expectations
• Complete an extensive CVS Pharmacy Technician Training Program

Pharmacy Technician

• Compound nonsterile preparations including creams, ointments, capsules, suspensions, solutions, and powders according to approved formulations
• Accurately weigh, measure, and mix pharmaceutical ingredients
• Follow USP <795> and USP <800> guidelines and internal SOPs for nonsterile compounding
• Properly document compounding activities and quality checks
• Maintain compliance with state board of pharmacy regulations and company policies
• Collaborate effectively with pharmacists, technicians, and quality staff

• Serve as an instructor and subject matter expert
• Offer specialized consultation to other business coaching team members
• Collaborate with assigned Business Coaching Coordinator
• Enhance customer retention and engagement
• Execute complex processes and engage in client-facing situations
• Continuously maintain and update coaching activities within the CRM system
• Compile pharmacy data to prepare necessary reports
• Drive results by aligning opportunities with customer needs
• Oversee all aspects of programs
• Identify potential weaknesses within pharmacy operations
• Work closely with Business Coaching Coordinator to assess customer needs
• Guide in-store implementations
• Develop and maintain a strong understanding of the independent retail pharmacy market
• Provide leadership with insights on industry intelligence
• Create and implement new concepts

Pharmacy Business Consultant

• Develop, implement, and evaluate population health initiatives centered around medication management, adherence, and optimizing therapeutic outcomes.
• Utilize health data analytics to identify trends, gaps in care, and opportunities for intervention to improve medication-related outcomes for the target population.
• Collaborate with healthcare providers to ensure appropriate medication selection, dosing, and monitoring, considering population-specific needs and evidence-based guidelines.
• Design and implement programs to educate patients about their medications, ensuring understanding, adherence, and management of potential side effects.
• Work closely with healthcare teams, including physicians, nurses, social workers, and other healthcare professionals, to coordinate care plans and interventions for improved patient outcomes.
• Participate in quality improvement projects aimed at enhancing medication-related outcomes, reducing adverse events, and promoting evidence-based practices.
• Stay updated with pharmaceutical regulations, ensuring compliance with relevant laws, policies, and guidelines.
• Provide leadership within the pharmacy team, mentorship to junior staff, and contribute to departmental goals and initiatives.

Population Health Pharmacist

• 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

• Act as a subject matter expert on complex pharmacy issues
• Respond to escalated calls from members, provider/physician's offices, and pharmacies
• Make outbound calls and enter pharmacy overrides into systems
• Take member/prescriber/pharmacist inquiry calls for benefit questions
• Offer options including submission of prior authorization requests
• Research issues and take appropriate action to resolve them
• Conduct inbound and outbound calls for claims resolution
• Assist team members in guiding them to appropriate resolution of inquiries
• Participate in training less experienced staff
• Act as a liaison between internal departments for data gathering and problem solving
• Present proposed solutions clearly
• Assist with audit preparation and special project work as assigned
• Comply with all policies and standards

Senior Pharmacy Resolution Specialist

• Provides comprehensive patient care to members by processing and accurately dispensing prescription orders
• Administering immunizations
• Counseling members regarding health care and prescription medication needs
• Maintaining confidential information, controlled medications and required documentation
• Models, enforces and provides direction and guidance to Associates on proper Member service approaches and techniques to ensure Member needs, complaints and issues are successfully resolved within Company guidelines and standards
• Ensures compliance with Company and legal policies, procedures and regulations for assigned areas by analyzing and interpreting reports, implementing and monitoring loss prevention and safety controls, overseeing safety, operational and quality assurance reviews, developing and implementing action plans and providing direction and guidance on executing Company programs and strategic initiatives
• Maintains confidential information, documentation and assigned records as required by Company policies and local State and Federal guidelines

Staff Pharmacist – Salary

• Coordinate and process medication refills, including data entry and claim adjudication
• Place outbound refill calls and assist patients through the refill request
• Respond to and resolve inbound patient and provider inquiries
• Clarify prescription orders with pharmacists or clinical staff
• Maintain and update patient and prescription data in software systems
• Spot trends, recommend improvements, and support process-improvement initiatives
• Partner with cross-functional teams to deliver a seamless patient experience
• Maintain confidentiality and uphold high-quality service standards

Pharmacy Technician, Refill Calls

• 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

See all jobs on JobTailor

Clinical Associate – Pharmacy Technician Certification Required

Pharmacy Graduate Intern

Pharmacy Technician – Non Clinical Diverts

Clinical Pharmacist – MTM

Senior Pharmacy Performance Specialist

Pharmacy Care Technician

Investigational Drug Services Pharmacy Technician

Clinical Pharmacy Manager

Specialty Pharmacy Technician, Prior Authorization

Patient Care Pharmacist – Short Term Assignment

Pharmacy Technician, Order Entry

Pharmacy Technician

Pharmacy Technician

Pharmacy Business Consultant

Population Health Pharmacist

Clinical Pharmacist – Medicare STARS

Senior Pharmacy Resolution Specialist

Staff Pharmacist – Salary

Pharmacy Technician, Refill Calls

Pharmacist – Clinical Advisor