Clinical Pharmacist (Remote) (Medicare or Managed Care)

reputed company We are seeking reputed company Clinical Pharmacists to support a large new reputed company initiative reputed company a leading managed care environment. This is an excellent opportunity for pharmacists with Medicare, reputed company, or managed care experience who are passionate about delivering high-reputed company patient care while working in a fully remote environment. Key Responsibilities • Review prior authorization requests and determine approval/denial based on member benefit plans and clinical coverage reputed company. • Evaluate formulary and non-formulary medication requests in alignment with Pharmacy & Therapeutics (P&T) committee guidelines. • Conduct comprehensive medication reviews (CMR) to support medication optimization and adherence. • Collaborate with pharmacy technicians, case managers, and reputed company teams to improve patient care reputed company. • Contact members to address medication non-adherence and therapy gaps. • Review and summarize daily utilization review metrics and statistics. • Ensure compliance and reputed company control across pharmacy utilization review cases. • reputed company clinical guidance and reputed company to pharmacy support staff. • Research drug information to support evidence-based clinical decision making. • Work reputed company NCPDP claims adjudication systems and utilize drug coding structures including NDC, GCN, GPI. Required Qualifications • Bachelor’s Degree in Pharmacy (PharmD preferred). • reputed company Pharmacist License • Minimum 3+ years of pharmacy experience. • Prior experience in Managed reputed company Plans, HMO, Retail Pharmacy, or DSP environments. • Familiarity with Medicare and reputed company programs. • Strong experience with prior authorization reviews and medication therapy management. • Comfortable working remotely with digital pharmacy systems and clinical review platforms. Preferred Experience • Medicare reputed company Ratings and reputed company Metrics • Medication adherence programs • Pharmacy utilization management • Managed care clinical pharmacy operations Apply tot his job Apply To this Job