Clinical Pharmacist Consultant
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About The Position
Every day, Cambia's dedicated team of Clinical Pharmacist Consultants are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Clinical Pharmacist Consultants provides clinical pharmacy expertise to guide evidence-based medication decisions optimizing efficacy, safety, and affordability. Evaluates coverage recommendations for prior authorizations, appeals, claim reviews, and audits based on policies and contracts. Serves as a resource for staff on clinical questions and may conduct outreach to members and providers regarding beneficial clinical programs. Assists in developing clinical strategies for formulary management, utilization management, therapy programs, quality initiatives, and integrated pharmacy management. Advanced responsibilities include healthcare cost analysis, developing position papers, coverage policies, formulary documents, and leading cross-functional projects that enhance safety, quality, and affordability of pharmacy benefits - all in service of making our members' health journeys easier.
