Clinical Pharmacist Consultant
Location: Remote (within Oregon, Washington, Idaho, or Utah)
Salary: $112K - $184K per year (estimated)
Position Type: Full-Time
Benefits: 401(k) plan, Wellness Programs, Paid Time Off, Health Coverage, and more
Overview:
Join Cambia Health Solutions as a Clinical Pharmacist Consultant and leverage your clinical expertise to optimize medication choices for efficacy, safety, and affordability. In this role, you'll contribute to a person-focused, economically sustainable healthcare system, supporting clinical decision-making and strategic initiatives in medication management and cost-effective pharmacy services.
Key Responsibilities:
Clinical Decision-Making: Provide expert guidance to optimize medication therapy, focusing on efficacy, safety, and affordability using evidence-based practices.
Prior Authorization & Appeals: Evaluate prior authorization requests, appeals, and retrospective claim reviews. Provide recommendations for medication coverage.
Strategic Initiatives: Contribute to formulary management, medication therapy management programs, quality initiatives, and integrated pharmacy strategies.
Collaboration: Work closely with medical directors, case managers, and other healthcare professionals to improve medication outcomes.
Policy Development: Create medication coverage policies and position papers. Analyze healthcare cost data to identify trends and opportunities for improvement.
Required Qualifications:
Education: Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD)
Experience: 3-5 years in clinical acute care or hospital settings
Licensing: Active, unrestricted pharmacy license in the state of practice
Preferred: Completion of a pharmacy residency or advanced degree in a health-related field
Skills & Attributes:
Clinical Expertise: Strong background in clinical pharmacy with the ability to apply therapy knowledge in a clinical care setting.
Communication & Analytical Skills: Excellent verbal and written communication skills; strong analytical and business skills.
Managed Care Knowledge: Understanding of managed care systems, pharmaceutical products, and regulations.
Healthcare Economics: Knowledge of healthcare financing, pharmaceutical dynamics, and reimbursement systems.
Regulatory Knowledge: Familiarity with state and federal healthcare laws, including HIPAA and Medicare/CMS regulations.
Compensation & Benefits:
Salary Range: $112,000 - $184,000 (based on experience and qualifications)
Bonus: 15% bonus target
Benefits: Medical, dental, and vision coverage, 401(k) with employer match, paid parental leave, wellness programs, paid time off, and more.
How to Apply:
Visit Lifelancer to apply and explore similar roles. Cambia is an Equal Opportunity Employer dedicated to workforce diversity and inclusivity.
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