Clinical Pharmacist – Part-Time

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Report to and operate under the direction of Pharmacy Leadership • Work cooperatively and sometimes independently with medical directors and enterprise personnel • Assist in development of and supervise the drug utilization and prior authorization review program • Contribute to and support enterprise-wide undertakings and commitments • Develop and manage pharmacy cost containment strategies • Develop and implement pharmacy cost containment strategies tailored to enterprise, regional, and large-account situations and patterns • Draft medical criteria and perform activities supporting the enterprise prior authorization program • Prepare and present reports, data, and analyses on utilization and cost trends • Provide leadership and advice on pharmacy reimbursement, claims processing policies and procedures, and pharmacy vendor selection • Serve as a corporate pharmacy resource to medical management, operations, and sales staffs • Serve as a liaison to pharmacists, professional pharmacy organizations, internal committees, case management, medical management, and other providers • Interpret criteria, policies, and procedures using clinical knowledge and independent critical thinking for prior approval and retrospective review determinations • Work 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 • Minimum three (3) years' pharmacy practice experience • Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred • Oral and written communication skills • Presentation skills • Organizational skills • Analytical skills • Problem-solving skills • Decision-making skills • Coaching Others • Conflict Resolution • Continuous Learning • Critical Thinking • Delegating Tasks • Employee Engagement Strategies • Evaluating Information • Interpersonal Communication • Interpersonal Relationships • Management Techniques • Monitor Processes, Materials, or Surroundings • Oral Communications • Problem Sensitivity • Researching • Service Oriented • Time Management • Written Communication • Must ensure the security and confidentiality of records and information • Must adhere to segregation of duties guidelines in the Administrative Manual

🏖️ Benefits

• Part-time schedule of up to or around 24 hours a week • Remote work arrangement