Staff Clinical Pharmacist (Tuesday - Saturday) - Jefferson Health Plan

Job description

Job Details Working under minimal supervision, the Clinical Pharmacist is responsible for managing the prescription benefit program for all lines of business for Health Partners. The incumbent uses clinical pharmacy expertise as well as approved criteria in administering the prescription prior authorization program. Other responsibilities include: suggesting adherence to approved formularies to providers, supporting Medical Directors in case reviews overseeing the recipient restriction program (RRP) and monitoring appropriate drug utilization. Incumbents actively participate in physician education & outreach programs, represents the pharmacy department at internal and external committees and perform claims analysis for drug utilization review (DUR), related to fraud, abuse, and/or over/under-utilization and drug adherence. Job Description: - Able to work in a constant state of alertness and safe manner - Review prior authorization requests to make coverage determinations to ensure clinical appropriateness based on pharmacy guidelines and established clinical criteria. - Develop and prepare clinical research analysis for Pharmacy and Therapeutics (P&T) committee presentations. - Edu...