Pharmacist, Consultant
Blue Shield of California•El Dorado Hills, CA
•$123,090 - $208,320•Hybrid
About The Position
The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist, Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager.
Requirements
- Clinical knowledge in pharmacy.
- Understanding of prior authorization processes.
- Familiarity with evidence-based clinical decisions in pharmacy.
- Ability to ensure high-quality and cost-effective pharmacy benefits.
Nice To Haves
- Experience as a Drug Utilization Review (DUR) Pharmacist.
Responsibilities
- Utilize clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit.
- Support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence-based clinical decisions are implemented appropriately.
- Provide a high-quality and cost-effective pharmacy benefit.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
