Clinical Pharmacist

🔥 0 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $106.3k - $151.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Conduct evidence‑based evaluations of drugs and drug classes using accepted clinical methodologies • Develop and maintain Gainwell TCRs to support recommendations for Preferred Drug List (PDL) management • Apply evidence‑based medicine principles to develop clinical PA recommendations and supporting documentation • Review clinical and pricing data to support the Gainwell clinical PDL team • Review and monitor prescription claims data and prescribing patterns identified as outliers • Contribute to the development of Clinical Services publications produced on a weekly, monthly, quarterly, and as‑needed basis • Support continuous quality improvement by identifying enhancement opportunities • Provide support to client accounts during implementation, maintenance, and ongoing operations • Promote collaboration and alignment across the pharmacy business

🎯 Requirements

• Doctor of Pharmacy (PharmD) degree required • Active Pharmacist license is required • Minimum of 5 years of experience in pharmacy benefit management • Minimum of 3 years of experience supporting a Medicaid PBM account • Demonstrated knowledge of Medicaid requirements at the state and federal levels • Working knowledge of HIPAA regulations and related compliance requirements • Proficient in PowerPoint and comfortable delivering presentations both within the organization and to external audiences

🏖️ Benefits

• Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies