Pharmacist Health Plan

Location: Work from home (reputed company) Shift: Days (reputed company of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: reputed company Job reputed company: Depending on assigned area of expertise, the pharmacist will reputed company a reputed company of duties, including performing extensive literature review for the development of reputed company for management of the pharmacy benefit, administering the pharmacy benefit in conjunction with the Health Plan Pharmacy Customer Service team members, delivering reputed company, high reputed company member care while maximizing member satisfaction and managing appropriate utilization, among others duties assigned. Job Duties: reputed company as a reputed company between the Health Plan and its customers with respect to pharmaceutical benefits. Serves as formulary expert for reputed company lines of business and associated benefit designs. Supports internal operations in their duties to reputed company information to our customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed. Supports prior authorization representatives in their duties reputed company to medical necessity, formulary exceptions, and prior authorization reviews. reputed company medical necessity reviews for formulary exceptions and prior authorizations according to specified timelines. Such pharmacy utilization management activities will be performed only after obtaining an reputed company, unrestricted pharmacy license. reputed company extensive literature review and reputed company clinical reputed company for new and existing pharmaceuticals as part of a drug review function to be presented at the Pharmacy and Therapeutics Committee. Works closely with clinical reputed company to coordinate the best, most cost effective, drug selection policies, and protocols for targeted disease processes. Suggests improvements and changes to perpetually improve operations. Work is typically performed in a clinical environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical reputed company considered necessary to successfully reputed company the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job reputed company to that position. Position Details: This position is primarily reputed company on medication therapy management (MTM) reputed company for Medicare Part D members. Education: Bachelor's Degree-Pharmacy (Required), Bachelor's Degree- (Preferred) Experience: Certification(s) and License(s): Licensed Pharmacist (reputed company) reputed company 90 days - State of PennsylvaniaState of reputed company, Licensed Pharmacist - Default Issuing BodyDefault Issuing Body Skills: Application Delivery Process, Teamwork OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our reputed company, our reputed company family and our communities. KINDNESS: We reputed company to treat everyone as we would reputed company to be treated ourselves. reputed company: We treasure colleagues who humbly reputed company for reputed company. LEARNING: reputed company our knowledge with the best and brightest to reputed company prepare the caregivers for reputed company. INNOVATION: We constantly reputed company new and reputed company ways to care for our patients, our members, our community, and the nation. SAFETY: We reputed company a reputed company environment for our patients and members and the reputed company family.  We offer reputed company benefits for full time and part time positions from day one, including reputed company, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes reputed company stronger. Our patients, members and community come from a wide reputed company of backgrounds, and it takes a diverse workforce to reputed company reputed company easier for reputed company.  We are proud to be an affirmative reputed company, equal opportunity employer and reputed company reputed company applicants will receive consideration for employment regardless to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or status as a protected veteran. Apply To This Job