Clinical Pharmacist – Part-Time

🔥 17 hours ago

🥔 Idaho, North Dakota, +4 more states – Remote

🥔 Idaho – Remote 🌾 North Dakota – Remote 🌲 Oregon – Remote ❄️ Minnesota – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $18 - $89 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

👻 Ghost score 0%

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Arkansas Blue Cross and Blue Shield

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1948

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.

📋 Description

• Reports to and operates under the direction of Pharmacy Leadership • Works cooperatively and sometimes independently with medical directors and enterprise personnel • Assists in development of and supervises the drug utilization and prior authorization review program • Contributes to and supports Enterprise-wide undertakings and commitments • Develops and manages pharmacy cost containment strategies • Develops and implements pharmacy cost containment strategies tailored to the enterprise, specific regions, and large accounts • Drafts medical criteria and supports the enterprise prior authorization program • Prepares and presents reports, data, and analyses on utilization and cost trends • Provides leadership and advice on pharmacy reimbursement, claims processing policies and procedures, and pharmacy vendor selection • Serves as a corporate pharmacy resource to medical management, operations, and sales staffs • Serves as a liaison to pharmacists, professional pharmacy organizations, internal committees, case management, medical management, and other providers • Uses clinical knowledge and independent critical thinking to interpret criteria, policies, and procedures and make determinations on prior approval and retrospective reviews • Works with clinical and operations staff of pharmacy program vendors to ensure satisfactory service for members and providers

🎯 Requirements

• Bachelor's degree in Pharmacy from an accredited college of pharmacy • Holds an active and current, unrestricted license in pharmacy in the state(s) where job duties are performed required • Minimum three (3) years' pharmacy practice experience • Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred • Oral & Written Communication • Presentation • Organizational • Analytical • Problem-Solving • Decision-Making • Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota • This position may require up to or around 24 hours a week