Job Description
Are you innovative and look for ways to improve processes?
Bring your new drug criteria and analyses skills to the department
Ensuring compliance with Contract requirements concerning drug utilization and to consult and make recommendations to Prescribers if and when necessary
Ensuring compliance with clinical goals and clinical guidelines for pharmacy prior authorization program
Evaluate new therapies and methods to understand trends, uncover gaps in care
Review prior authorizations for clinical appropriateness and accuracy
Qualifications
Have an active Pharmacist license (PharmD) in Maryland (required) (Company will pay for successful candidate to pass and acquire Maryland license within six months of hire)
Board Certified in Psychiatric Pharmacy (BCPP)
Have at least three (3) years of experience in supporting formulary, PA, benefits design, and clinical information
Have expert knowledge of clinical pharmacy and drug products information
Previous experience in PRO and RetroDUR
Previous experience in IV infusion and compounding
Previous experience in supporting call center PA programs
Why is This a Great Opportunity
Tremendous opportunity for an individual looking to have impact on a large-scale corporate environment
Stability, career growth and the company’s commitment to work to build a culture where individuality is both noticed and valued – a culture where every employee can bring their authentic self to work.