Clinical Staff Pharmacist - Express Scripts - Remote (CRD)

Cigna Healthcare

2d • $55 - $91 • Remote

About The Position

Utilization management pharmacists are responsible for reviewing each plans policy to determine if coverage can be granted for a medication. Provide clinical support and oversight for all utilization management (UM) activities. Responsible for finalizing all denials of clinical prior authorization requests.

Requirements

• Licensed Pharmacist required
• Bachelor’s Degree in Pharmacy required; PharmD preferred
• 5+ years of clinical pharmacy experience
• Proficient technical skills utilizing Microsoft Office applications required
• If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

• Utilization Management Experience Preferred, but not required
• Experience with Specialty Pharmacy/Pharmaceuticals preferred
• 2+ years lead/supervisor or retail pharmacy experience preferred

Responsibilities

• Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions
• Applies critical thinking to achieve proper clinical decisions when performing clinical reviews
• Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews
• Works and maneuvers within a queue system that prioritizes clinical reviews
• Makes clinical decisions quickly and at times decides and acts with limited information
• Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience

Benefits

• medical
• vision
• dental
• well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees