Clinical Pharmacist, Utilization Management (MST/PST)

About the Role

$120K-$125K. Remote. On call every two months. 40 hrs/week. Pharmacy UM role. Manage drug spend. Join Rightway.

Work-Life Balance Factors

Remote/telehealth

Key Responsibilities

• Supports P&T process including the development of therapeutic class/drug monographs as needed
• Research and develop therapy
• Support Clinical Operations leadership and coordinate with Pharmacy Navigation team as needed

Requirements

• Education level: Pharmacy Degree Required, PharmD preferred.
• Work experience: 1 year experience coordinating medication selection with prescribers and their care teams. Preferred: 1
• Pharmacist license in good standing in state of residence. Willingness to achieve and maintain licensure in multiple states (if needed)
• Important characteristics of ideal candidate: Detail

Benefits & Compensation

• 3+ years of managed care (PBM or health plan) prior authorization experience

Benefits & Compensation

• demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
• We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

Work Schedule

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Work Schedule

• Support all lines of business via reviewing utilization management requests for coverage that are clinically appropriate and cost effective
• oriented, intellectually and clinically curious, good listener, empathetic, ability to challenge status quo, values exemplar