Full-Time Pharmacist I - R7742

CareSource is hiring a remote Full-Time Pharmacist I - R7742. The career level for this job opening is Manager and is accepting USA based applicants remotely. Read complete job description before applying.

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CareSource

Job Title

Pharmacist I - R7742

Posted

Career Level

Full-Time

Career Level

Manager

Locations Accepted

USA

Salary

YEAR $90500 - $158400

Job Details

About the job

Job Summary

Pharmacist I is responsible for supporting the department, operational strategies, goals and vision. Pharmacists shall utilize pharmaceutical and clinical expertise to review Prior Authorizations requests within a timely manner, to promptly serve our CareSource members.

Essential Functions

  • Supports and participates in Prior Authorization (PA) Reviews by documenting, implementing and utilizing the following: Formulary Management guidelines, Utilization Management programs, CareSource Administrative and Operational policies and procedures, and/or other clinical programs
  • Execute critical thinking and decision processes when evaluating PA Reviews for Pharmacy and Medical Benefit medications
  • Conduct PA Reviews for Multi-State Medicaid and Marketplace lines of business
  • Provide written communications to members and providers upon decisioning of PA requests
  • Engage Providers in “Peer to Peer” discussions, and Clinical Consults, as requested
  • Assist Pharmacy PA call center staff
  • Provide support and collaborate with pharmacy technicians to ensure operational efficiencies
  • Adhere to Turn Around Time (TAT) requirements, per Line of Business
  • Observe Operational Productivity Goals and Metrics
  • Maintain exceptional quality
  • Cross-collaborate with Departmental and Organizational Teams
  • Perform any other job duties as requested

Education And Experience
  • Bachelor’s Degree in Pharmacy is required; Doctor of Pharmacy (PharmD) is preferred
  • Minimum of three (3) years of retail pharmacy experience is preferred
  • Minimum of one (1) year managed care or Medicare experience is preferred
Competencies, Knowledge And Skills
  • Working knowledge of Microsoft Outlook, Teams, Word, Excel, and PowerPoint
  • Familiarity with the healthcare field, including Insurer, PBM, Specialty or Retail Pharmacy and Provider
  • Understanding Managed Care and/or Retail Pharmacy operations with respect to Medicaid, Marketplace and /or Medicare
  • Proficient in medical terminology, medication names, generics and biosimilars
  • Application of Clinical guidelines, policies, and decision trees/tools
  • Understanding the pharmacist’s clinical role in the care of members; utilization of Clinical expertise
  • Strong written and verbal Communication skills, including use of proper grammar in print and e-mail communications
  • Ability to simplify clinical language for lay persons
  • Critical listening, thinking and problem-solving skills
  • Attention to detail
  • Organized and learns quickly
  • Comfortable working in a fast-paced environment
  • Time management skills
  • Use of proper phone etiquette
  • Ability to work independently and within a team environment
Licensure And Certification
  • Current, unrestricted Registered Pharmacist (RPh) licensure is required
  • Ability to acquire additional State License(s) in multiple states, as required
Working Conditions
  • General office or Remote work environment; may be required to sit or stand for extended periods of time
Compensation Type

Salary

Competencies
  • Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.

FAQs

What is the last date for applying to the job?

The deadline to apply for Full-Time Pharmacist I - R7742 at CareSource is 28th of August 2024 . We consider jobs older than one month to have expired.

Which countries are accepted for this remote job?

This job accepts [ USA ] applicants. .

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