Clinical Pharmacist

Join Community Health Plan of Washington as a Clinical Pharmacist in Washington. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

Key Responsibilities

• Performs clinical reviews for override requests and appeals.

• Serves as a drug expert who will provide clinical consultation to Community.

• Health Plan of Washington internal and external customers.

• Performs clinical in-service to Community Health Plan of Washington internal or external customers as needed.

Requirements

• Develops policy and procedures for pharmacy benefit management.

• Monitors, identifies, and addresses potential fraud, waste and abuse activities related to pharmacy.

• Helps inform provider groups regarding adverse drug utilization trend to ensure appropriate medication use.

• Assists in monitoring guidance from CMS and implementing required processes to ensure Part D compliance.

Benefits & Compensation

• Salary: $132K - $221K

Work Schedule

• Full-Time position.

Work with Community Health Plan of Washington in Washington.