Managed Care Clinical Pharmacist

California Specialty Pharmacy,LLCWhittier, CA
Remote

About The Position

Under the direct supervision of the Vice President of Clinical Strategy, this role assists in coordinating and supporting all clinical strategy activities and projects in accordance with established policies and standards, as well as state and federal regulations including HIPAA. The position requires proficiency in independent remote work, with reliable internet and cell phone service. The role involves extensive use of Microsoft Excel, PowerPoint, and Word, and demands excellent communication, presentational, and interpersonal skills, along with strong clinical knowledge and analytic abilities.

Requirements

  • Doctor of Pharmacy (PharmD) degree from an ACPE-accredited school of pharmacy.
  • Current, active and in good standing pharmacist license in the state of employment.
  • Proficient and efficient in independent remote work.
  • Reliable internet and cell phone service.
  • Excellent communication, presentational and interpersonal skills.
  • Excellent clinical knowledge and analytic abilities.
  • Strong Microsoft Excel, PowerPoint and Word skills.

Nice To Haves

  • Knowledge of contemporary specialty pharmacy practice and healthcare requirements.
  • Strong clinical acumen in specialty pharmacy disease states (Immunology, MS, RA, Oncology, Rheum etc.).
  • Demonstrated organizational and leadership skills.

Responsibilities

  • Perform and assist in preparing for Managed Care Business Reviews by analyzing pharmacy claims data.
  • Create and update cost grids using AWP, WAC, and ASP for internal and external stakeholders.
  • Monitor and create pipeline presentations with actionable recommendations.
  • Perform budget and pipeline forecasting.
  • Conduct Open Sales and Managed Care education.
  • Provide Pharmacists and nursing education.
  • Conduct Enhanced clinical outreaches.
  • Participate in real-world research projects.
  • Assist with compliance and accreditations.
  • Prepare and present at Professional Advisory Committee.
  • Assist in creating Clinical Strategy.
  • Assist in research and provide drug information as needed.
  • Assist in coordination of APPE and AE students, including projects and onboarding.
  • Assist in Educational Accreditation (CAPE, ACPE, BRN etc.).
  • Maintain clinical strategy related folders in TEAMs and Sharepoint.
  • Perform other duties and tasks as assigned.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Ph.D. or professional degree

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