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Consultant Pharmacist Team Lead - Managed Care (Remote)
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- Under the general direction of the Associate Director or designee, the Consultant Pharmacist Team Lead functions as a team leader/member of the drug utilization review and medication management therapy programs within Clinical Pharmacy Services (CPS).
- CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client member’s drug therapy.
- This position will participate in, and may oversee, prospective and retrospective DUR activities including, but not limited to: handling live calls from physicians and pharmacists, reviewing appropriate drug therapy, coordinating and managing the request for prior authorization process, participating in the development of clinical drug use criteria, and the coordination of activities of the clinical workgroups of program advisory boards.
- Coordinates the request for prior authorization (RPA) process including the data entry and the generation of reports that stem from this process, as well as ensuring compliance with the federal twenty-four hour time limit.
- Doctor of Pharmacy degree with 2 years of pharmacy-related work experience or Doctor of Pharmacy degree with completion of 2 years of pharmacy residency OR
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