Clinical Pharmacist

🔥 8 minutes ago

🦀 Maryland – Remote

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💵 $135k - $165k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

🦅 H1B Visa Sponsor

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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

• evaluate prescription claims data • develop and present clinically driven recommendations and initiatives • evaluate utilization management criteria and operational impact • support and maintain configuration requirements • research policy and regulatory drivers • coordinate with operations, claims, network, reporting, and other internal stakeholders • analyze clinical, utilization, prescribing, claims, and pricing data • develop, implement, manage, and evaluate utilization management programs

🎯 Requirements

• Licensed Pharmacist • minimum of five (5) years of experience in pharmacy benefit management or pharmacy managed care • detailed knowledge of Medicaid programs at both state and federal levels • ability to communicate succinctly and accurately in both written and verbal English across diverse audiences • experience presenting complex clinical findings, recommendations, and program outcomes to senior leaders • experience evaluating healthcare data, clinical outcomes, quality measures, and performance metrics • demonstrated experience applying population health principles to improve medication use, quality outcomes, and healthcare delivery • strong PC skills with advanced proficiency in Microsoft Office, data analysis, project management, problem-solving, and virtual collaboration platforms

🏖️ Benefits

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

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