Clinical Programs Administrations Pharmacist

Key Responsibilities

The pharmacist will triage clinical calls and conduct outreach to members, pharmacies, and prescribers while supporting clinical programs like MTM and pharmacogenomics. They are also responsible for reviewing pharmacy claims to support Fraud, Waste, and Abuse initiatives and ensuring compliance with HIPAA and internal policies.

Requirements

Candidates must hold an active, unrestricted pharmacist license and possess a Bachelor's or Doctor of Pharmacy degree. At least two years of clinical pharmacy practice experience and prior managed care or clinical program administration experience are required.

Qualifications

Education

Bachelor degree

Experience

2+ years of experience

Key Skills