Pharmacist

• 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

• 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

• Manage and train a team of professionals leading supply chain initiatives for the Pharmacy Service Line
• Oversee sourcing/contracting/procure-to-pay process
• Partner with stakeholders at Intermountain Health
• Direct efforts between key stakeholders and various Supply Chain teams
• Monitor and evaluate supplier performance and manage supplier relationships

Category Management Director – Pharmacy

• Perform outbound and inbound medication adherence outreach (e.g., refill reminders, gaps‑in‑therapy follow‑up) using approved scripts and workflows
• Identify and document adherence barriers (cost, access, side effects, understanding) and escalate clinical concerns to a pharmacist or clinician
• Coordinate refills, prior authorization follow‑ups (as assigned), and pharmacy transfers in partnership with pharmacists
• Support population‑based adherence campaigns aligned to quality measures and organizational priorities
• Collaborate with interdisciplinary teams (Pharmacy, Care Management, Population Health) to close care gaps
• Adhere to all Intermountain policies, privacy standards, and medication‑related procedures

Pharmacy Technician – Population Health

• Assists with all phases of pharmacy services while under the supervision of a pharmacist as required by state of practice and job duties.
• Utilizes pharmacy technology effectively to prepare medication orders for dispensing.
• Performs calculations as necessary as appropriate to practice site, in accordance with state law, policies, procedures, and protocols.
• Packages and labels medications accurately and appropriately to minimize waste as appropriate to practice site and job duties.

Pharmacy Technician, Medication Assistance Program

• 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

• Optimize patient outcomes through telephonic interventions
• Focus on the tactical execution of medication management services, including polypharmacy, adherence, and pharmacotherapy optimization
• Counsel patients via telephonic outreach on medication adherence, address any medication related problems such as adherence barriers, polypharmacy, or high risk medication use, and make appropriate evidence-based recommendations to patients and Practice Care Teams
• Perform focused clinical chart reviews as needed to inform patient interventions
• Obtain and document patient commitment to medication adherence and address barriers in real time
• Escalate complex clinical cases to prescribers or interdisciplinary teams as appropriate
• Meet and sustain performance goals (e.g., STARs, HEDIS)
• Collaborate with Physicians, clinical and administrative staff to optimize the Medication Management workflow and patient experience
• Proactively identify gaps in medication management through patient interactions and translate patient insights into targeted recommendations that drive improvements in practice operations and clinical workflows
• Participate in the design, implementation, and evaluation of pilot programs or process changes (“test and learn”) within the outreach model
• Serve as a clinical subject matter expert, leveraging clinical pharmacy expertise to support organizational objectives and adapt to evolving healthcare needs
• Develop and maintain standardized resources, educational tools, and clinical protocols to support improved medication outcomes and performance on quality measures (e.g., STARS, HEDIS) for practices, clinicians, and patients

Clinical Pharmacist, Pharmacy Outreach

• We are looking for a Utah licensed Clinical Pharmacist to join a strong team of clinicians, analysts, clinical support staff, and trainees to utilize Arine’s software platform and to help optimize patient outcomes for our clients.
• The purpose of this position is to provide an expert level medication therapy consultation to the patients and providers, collaborate with the Engineering team and leadership to improve Arine’s software platform, and to help supervise the Clinical Care support team.
• This candidate will have a direct impact on patient care and the delivery of our core clinical services, stay continuously up-to-date on developments in the fast-moving drug field, and be aware of emerging patterns, treatment guidelines, and best practices.
• The Clinical Pharmacist receives assignments and functions under the supervision of the Head of Operations to carry out and supervise direct patient care responsibilities and perform a range of functions that include the maintenance and review of patient medication profiles; counseling patients on appropriate drug use; promoting adherence; developing clinical recommendations; reviewing completed medication reviews by other Virtual Pharmacist users; as well as interacting with other health professionals to help improve patient outcomes.
• Job duties also include assisting with orienting new team members and Virtual Pharmacist users, facilitating prior authorizations, helping patients with finding financial assistance and transportation to help increase medication adherence, review and evaluate clinical guidelines and workflow processes as assigned.
• All members of the Clinical Care team are expected to communicate effectively, maintain a cooperative working relationship with clients and colleagues, be respectful and accept constructive feedback professionally, and continuously learn new skills to deliver quality customer service and patient care.

Clinical Pharmacist – Temp-to-Hire

• 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

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