Clinical Staff Pharmacist - Express Scripts - Remote (CRD)
The Cigna Group
•$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
- 5+ years of clinical pharmacy experience
- Proficient technical skills utilizing Microsoft Office applications required
Nice To Haves
- PharmD preferred
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
