Job Details | Rx relief

Job Details

« Back to Search Managed Care Pharmacist
Orlando, FL

Salary: DOE
Date Posted: August 18, 2017
Job Type: Temporary
Job ID: 126444

Job Description

Managed Care Pharmacist

Job Description

Join one of the nation’s leading pharmacist placement firms! Right now, Rx relief has a great opportunity for an experienced Managed Care Pharmacist. Voted Best of Staffing by both clients and talent, we are a specialty staffing company providing supplemental pharmacy professionals for all pharmacy practice settings. We are seeking a Managed Care Pharmacist in the Orlando, FL area. As a member of our team you’ll enjoy a customized approach to your career needs as well as comprehensive benefits! Join our dynamic team, apply today!

 

Job Responsibilities

  • Review specialty medication prior authorization requests (i.e. biopharmaceuticals) according to established treatment protocols, clinical criteria and member benefits.
  • Make coverage determinations within the defined turnaround times and meet regulatory requirements
  • Responsible for clinical criteria for specialty medications including analysis, monitoring of industry trends and develop criteria recommendations for Pharmacy and Therapeutics Committee and clients
  •  Define and coordinate prior authorization and drug utilization reviews reports for clients and ensure regulatory reporting requirements for drug utilization review, fraud and abuse reporting are met
  • Oversee the drug utilization review and medication therapy management programs for specialty medications at the assigned plan to meet regulatory requirements and develop systematic reviews of prescription claims to meet strategic initiatives
  • Develop and design specialty medication clinical edits for claims adjudication and enhanced drug utilization review
  • Provide clinical guidance, support and oversight to the assigned Pharmacy Technicians
  • Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design
  • Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practice specific to specialty pharmacy
  • Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews

Managed Care Pharmacist

Job Requirements

Do you have experience as a Clinical Pharmacist? If the answer is yes, then we want you on our team! Apply Today!

Specific Clinical Pharmacist requirements:

  • Area: Ability to work in the Orlando, FL area
  • Licensure requirements: Must have valid, open and active Florida Pharmacist license
  • Education: B.S. or Pharm D
  • Years of experience: 1+ year(s) of recent pharmacy experience within an impatient hospital setting
  • Schedule: Monday through Friday – Day Shifts – 8 hours shift between the hours of 8am-7pm
  • Length of Assignment: Temp
  • Pay: Competitive (Depending on Experience)
  • Background/drug requirements: Ability to successfully complete background check and drug screen

Managed Care Pharmacist

Benefits

At Rx relief, we are proud to offer the following benefits:

  • Health Insurance with Prescription coverage
  • Vision/Dental
  • 401(k) and deferred compensation programs
  • Cafeteria Plans
  • Free CE
  • Low-cost group health benefits for Part-Time Associates

Clinical Pharmacist – Managed Care

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