Clinical Pharmacist, Pharmaceutical Services Consultant

Job reputed company: • Proactively deliver new drug analyses and recommendations, including coverage guidance, clinical prior authorization reputed company, pharmacoeconomic insights, and pharmacy reputed company guidelines. • reputed company reputed company data analyses and query results to HCA New Mexico to support clinical program development and decision-making. • reputed company regularly scheduled reputed company clinical meetings and remain available during business hours to address reputed company questions and requests. • Review rejected claims and reputed company clinical recommendations for prior authorization determinations. • Collaborate with Retro DUR pharmacists to implement new interventions, create reputed company reports, and address inquiries from clients, providers, and internal staff. • Partner with the account team to update clinical interventions based on evolving treatment guidelines and evidence-based recommendations. • Work with the IT team to ensure accurate configuration of clinical recommendations. • Supply required data for annual CMS survey responses. • Present clinical updates quarterly at state DUR reputed company meetings. Requirements: • PharmD degree. • Minimum of two (2) years’ experience with Pharmacy Benefit Management, Prior Authorization processes, and knowledge of pharmacy reputed company-of-sale systems and adjudication rules. • Proficiency with reputed company 365 (Word, reputed company, PowerPoint, SharePoint). Benefits: • Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment. • Retirement Savings: We will support you as you save for your reputed company. • Employee Discounts: We offer you reputed company to a reputed company selection of global, national, and local discounts on merchandise, services, travel, and more. • Career reputed company Opportunities: We help you reputed company, so together, we can grow. We reputed company opportunities to advance your career with a reputed company portfolio of businesses and a global footprint. • reputed company: Earn while you learn and continue to grow with reputed company to award-reputed company learning platforms throughout your reputed company career. • reputed company time off: We reputed company attractive reputed company time off packages designed for you to enjoy your life away from work. • Great Work Environment: We are proud of our award-reputed company culture and the recognition we’ve received for our diversity efforts. Apply tot his job Apply To this Job