Pharmacist – Health Plan

🔥 1 hour ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• Act as a liaison between the Health Plan and its customers with respect to pharmaceutical benefits • Serves as formulary expert for all lines of business and associated benefit designs • Supports internal operations in their duties to provide information to our customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed • Supports prior authorization representatives in their duties related to medical necessity, formulary exceptions, and prior authorization reviews • Perform medical necessity reviews for formulary exceptions and prior authorizations according to specified timelines • Perform extensive literature review and develop clinical criteria for new and existing pharmaceuticals as part of a drug review function to be presented at the Pharmacy and Therapeutics Committee • Works closely with clinical enterprise to coordinate the best, most cost effective, drug selection policies, and protocols for targeted disease processes • Suggests improvements and changes to perpetually improve operations

🎯 Requirements

• Bachelor's Degree- (Required) • Bachelor's Degree-Pharmacy (Preferred) • Licensed Pharmacist (Pennsylvania) within 90 days - State of Pennsylvania • Application Delivery Process • Teamwork

🏖️ Benefits

• We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners • Encouragement of an atmosphere of collaboration, cooperation and collegiality