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Clinical Pharmacist 1
Raleigh, NCMarch 28th, 2026
Position Title: Clinical PharmacistWork Location: RemoteAssignment Duration: 6 months (Possibility to extend)Work Schedule: 10am - 6:30pm EST, OT possibleWork Arrangement: RemotePosition Summary: Define and develop standard and custom formularies for assigned plan.Background & Context: This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.Key Responsibilities: * Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated * Monitor prior authorization requests * Provide clinical support to internal departments and address clinical related questions * Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice * Develop and implement programs designed to impact DUR for both Medicaid and Medicare * Develop, implement, and maintain policies and procedures for the pharmacy department * Participate in the coordination of the Medicare MTM program * Assist case management team with members including clinical rounds presentationsQualification & Experience: * Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. * Current state's Pharmacist license with no restrictions.Education/Certification Required: Bachelors / PharmD Preferred: Licensure Required: Current states pharmacist license Preferred: Years of experience required: 1 to 3 years experience Disqualifiers: None Additional qualities to look for: Flexibility to work a weekend rotation Top 3 must-have hard skills stack-ranked by importance 1 Clinical decision making 2 Ability to learn new skills quickly 3 Adaptability
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