[Hiring] Clinical Pharmacist @Pyramid Consulting

Role Description

Immediate need for a talented Clinical Pharmacist. This is a 06+ months contract opportunity with long-term potential and is located in U.S (Remote).

Key Responsibilities:

• Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria.
• Report utilization review statistics to corporate compliance committees.
• Summarize daily utilization review data and track compliance of review cases.
• Provide clinical guidance and support to assigned pharmacy technicians.
• Utilize knowledge of drug coding (NDC, GCN, GPI, and USC) and NCPDP claims adjudication systems.
• Review guideline criteria for prior authorization and non-formulary drugs to support Pharmacy and Therapeutics Committee functions.
• Ensure quality controls and identify opportunities for performance improvement in pharmacy practices.
• Research drug information to maintain drug knowledge and disease state understanding for prior authorization reviews.

Qualifications

• 3+ years of experience in a related field.
• Bachelor’s degree or advanced degree.
• Current state pharmacy license.

Benefits

• Pay Range: $55 - $58/hour.
• Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Company Description

Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions.