Pharmacist – Clinical Managed Care - PCMC26-06088

NavitasPartners•Portland, OR

14h•Onsite

About The Position

This role involves providing clinical pharmacy services and medication therapy management (MTM) support. The pharmacist will evaluate medication-related problems, develop patient-specific care plans, and conduct drug utilization reviews. Collaboration with healthcare professionals, support for clinical policy development, and monitoring of medication outcomes are key aspects of this position. The role also includes educating healthcare providers, participating in quality improvement initiatives, and analyzing data to ensure compliance with standards.

Requirements

PharmD required
Active Pharmacist License in OR, WA, or CA required
PGY-1 Residency OR equivalent clinical experience required
Minimum 3 years managed care experience (prior authorization, audits, appeals, drug utilization review, etc.)
Strong knowledge of clinical pharmacy, pharmacotherapy, and evidence-based medicine
Experience with pharmacy claims systems and managed care workflows
Strong analytical, communication, and documentation skills
Proficiency in Microsoft Office and data analysis tools

Nice To Haves

Experience in medication therapy management (MTM) and population health preferred

Responsibilities

Provide clinical pharmacy services and medication therapy management (MTM) support
Evaluate medication-related problems and develop patient-specific care plans
Conduct drug utilization reviews and support prior authorization processes
Collaborate with physicians, nurses, and case managers on therapy decisions
Support clinical policy development and Pharmacy & Therapeutics (P&T) committee work
Monitor medication outcomes and ensure evidence-based therapy recommendations
Provide education to healthcare providers and internal teams
Participate in quality improvement and pharmacy program development
Analyze clinical and claims data to support pharmacy interventions
Ensure compliance with regulatory, safety, and quality standards