Per Diem Pharmacist

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EmpiRx Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2014

🏥 Healthcare

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Healthcare • Pharmaceuticals • Healthcare Insurance

EmpiRx Health is a clinically-driven, pharmacist-led pharmacy benefits management (PBM) company that focuses on medication optimization and value-based pharmacy care. The company centers pharmacists in its operating model, leveraging AI-powered analytics and population health tools to make evidence-based medication recommendations, improve patient outcomes, and reduce total drug spending for plan sponsors. EmpiRx offers a technology-enabled PBM platform and services to employers, health plans, and pharmacies, emphasizing customer-first service, guaranteed clinical savings, and preservation of community pharmacies.

📋 Description

• Act as a clinical expert on prior authorization review and evaluation in accordance with clinical criteria and covered plan design. • Review, evaluate, and resolve all assigned clinical reviews through comprehensive case review and direct physician engagement aligned with EmpiRx Health’s Population Health Management model. • Perform peer-to-peer reviews with providers as needed or when requested. • Convey clinical determinations promptly within established turnaround time requirements to prescribers, members, and healthcare professionals following established approval and denial protocols. • Monitor and proactively identify clinical interventions to ensure clinical savings guarantees are met. • Review and evaluate current clinical literature to support recommendations and decision-making. • Collaborate with clinical technicians and prior authorization team members to facilitate clinical review requests, resolve escalations, and answer inquiries. • Proficiently utilize pharmacy management software for case documentation and communications. • Utilize external clinical and drug information resources (e.g., IPD, Policy Reporter, UpToDate, MediSpan) to support reviews, decisions, and awareness of emerging drugs.

🎯 Requirements

• Pharm.D. degree from an accredited college of pharmacy (Required). • Minimum of 3 years of pharmacy experience in clinical, PBM, or managed care settings. • Prior experience with prior authorization, utilization management, or health plan operations preferred. • Active Pharmacist License in good standing (Required). • Strong clinical judgment and analytical thinking skills. • Exceptional written and verbal communication. • High attention to detail and accuracy in documentation. • Excellent organizational and multitasking abilities. • Proficient in Microsoft Office Suite and pharmacy systems. • Ability to work independently and collaboratively in a fast-paced environment.

🏖️ Benefits

• Paid Time Off • a 401(k) program • Health Insurance including Dental & Vision coverage • Student Loan Reimbursement • Health Savings Account • an Employee Assistance Program