Pharmacist Advisor

🕒 Yesterday

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Gainwell Technologies

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

• Provide clinical expertise and strategic guidance to support pharmacy programs • Ensure compliance with state and federal regulations, including Medicaid/Medicare requirements • Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments • Perform peer-to-peer consultations with providers and support prescriber outreach for identified clinical interventions • Provide clinical guidance to call center teams and support pharmacy-related inquiries and escalations • Contribute to quality improvement initiatives, program optimization, and development of best practices

🎯 Requirements

• Active Pharmacist license (RPh or PharmD) required • Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements • Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred • Strong analytical, communication, and stakeholder engagement skills

🏖️ Benefits

• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • leadership and technical development academies

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