Pharmacist, Advisor

🔥 1 minute ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $90.9k - $129.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

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 clinical evaluations of medication therapy and review prior authorization requests using established clinical guidelines and Preferred Drug List criteria • Participate in peer-to-peer discussions with medical providers regarding prior authorization reviews, clinical determinations, and appropriate medication therapy • Provide clinical pharmacy consultations and interventions • Review prior authorization data to identify prescribing trends and opportunities for intervention • Support Clinical Call Center and Prior Authorization operations with pharmacy expertise • Assist with communications to members, providers, and internal teams • Collaborate with Medical Directors, Clinical Pharmacists, Clinical Specialty Pharmacists, and other stakeholders • Maintain clinical integrity and advance pharmacy program best practices • Identify and support quality and operational improvements that enhance pharmacy programs and services

🎯 Requirements

• Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy with relevant specialty experience • Active, unrestricted pharmacist license in the applicable state • At least four years of clinical pharmacy experience • Experience conducting clinical reviews using recognized drug compendia, clinical guidelines, and clinical trial data • Strong analytical, research, communication, and problem-solving skills • Ability to translate clinical findings into practical recommendations • Strong collaboration and team skills • Proficiency in Microsoft Office • Ability to quickly learn proprietary systems • Ability to work Eastern Time Zone hours

🏖️ Benefits

• Flexible hours • Work-life balance • Continuous learning and career development • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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