Clinical Pharmacist Reviewer

Key Responsibilities

The Clinical Staff Pharmacist is responsible for processing and documenting Utilization Management requests such as formulary exceptions, prior authorization, step therapy, and quantity limit exceptions for delegated products and services. This includes clinical evaluation for coverage determination requests and direct consultation with healthcare providers regarding coverage issues.

Requirements

Candidates must possess a Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree and hold a current, active pharmacist license in good standing with the State Board of Pharmacy. A minimum of 1 year of clinical experience or equivalent training is required, along with eligibility to work in the United States without sponsorship.

Qualifications

Education

Doctoral or professional degree (postgraduate degree)

Key Skills