Clinical Pharmacist Job Description

• 5 years experience in-patient, out-patient, or clinical pharmacy.
• 5 years experience with IBM, windows-based software

SKILLS AND KNOWLEDGE

• Demonstrated competency to advance strategic goals and lead multi-disciplinary, multi-organizational teams to foster collaboration and build consensus, within a diverse, integrated, matrix management style healthcare system.
• Position requires organizational, teamwork, interpersonal, time management, written and verbal communication skills. position requires the capability to set priorities amongst a series of competing clinical and operational priorities and to effectively coordinate and direct the work of others to meet specified deadlines.
• Extensive clinical knowledge of medical and pharmacy practice issues and demonstrated proficiency in the evaluation of clinical evidence and development of evidence-based drug monographs, therapeutic class reviews, medication and disease management guidelines.
• Effective written and oral presentation of clinical evidence reviews, clinical initiative proposals, presentation of research findings, and recommendations to administrators, clinicians, and committees.
• Ability to engage and build consensus among pharmacy, nursing and medical staff in support of organizational goals for medication safety and stewardship.
• Proficiency with MS Word, Excel, and PowerPoint.
• Reliable transportation with appropriate insurance required; travel expenses are reimbursed.
• Supported attendance at one to two professional pharmacy conferences annually.

Job Shift :

Days

Schedule :

Full Time

Shift Hours:

8

Days of the Week:

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans.

Schedule/Shift: Regular/ Days

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Define and develop standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace

Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature

Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines

Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting

Develop clinical criteria for review of non-formulary or non-preferred drug lists medications and communicate recommendations to clients

Develop and design clinical edits to adjudicate claims and enhance drug utilization • Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design

Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
Provide clinical guidance and support to the assigned pharmacy technicians •

Provide support documentation and develop communication for the Pharmacy &Therapeutic (P&T) Committee review process and decisions

Education/Experience: Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy. 3+ years of combined managed care pharmacy or pharmacy residency program experience.

Licenses/Certifications: Current state's Pharmacist license with no restrictions.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Clinical Formulary Pharmacist

**LOCATION:** Woodland Hills, California

**REQNUMBER:** 1365494

Ready to take your clinical skills to the next level? Check out this great opportunity to join a Fortune 4 healthcare company in a fully remote role as a Clinical Pharmacist supporting Medicaid Prior Authorization Pharmacist with Aetna! Candidates must hold an active AZ or TX pharmacist license that is in good standing, and are required to obtain KS pharmacist license within 90 days of hire.We are hiring for the 9:00 am - 5:30 pm shift CST (post training).The training schedule is: 9:00 am - 5:30 pm CST for 8 weeks You will be required to work one Saturday every 6 weeks and occasional holidays.CVS Health offers a competitive benefit package including paid time off, 10 paid holidays per year, health/dental/vision insurance, employee discounted stock purchase program, 401K, tuition reimbursement, and 20-30% employee discount at all CVS stores.
Pay Range

The typical pay range for this role is:

Minimum: 74,600

Maximum: 160,700

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

-Active and unrestricted AZ or TX pharmacist license. -New hire is required to obtain KS pharmacist license within 90 days of hire.-Experience with clinical decision-making while applying evidence based clinical guidelines/criteria, utilizing formularies/preferred drug lists. -1+ years experience working as a Prior Authorization pharmacist within the PBM environment-Experience working in a high production team environment.-3+ years' experience working as a licensed pharmacist-Knowledge of clinical program components, formulary designs, and prescription benefit trends.

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

-Medicaid or Medicare experience-Experience reviewing medical records, clinical literature,and composing SOAP notes

Education

Bachelor's degree from an accredited school of pharmacy or Pharm. D. from an accredited school of pharmacy required.

Business Overview

Bring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.