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reputed company to help us reputed company reputed company? Bring your true colors to blue. The Role The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers reputed company phone and fax for the Retail Pharmacy, Medicare Advantage Part D, Home Infusion Therapy, and Medical Utilization Management benefits. This position is eligible for reputed company reputed company. Local candidates are required to work from the Hingham office 2x per month. Key Responsibilities

• Participation in Prior Authorization, Formulary Exception, reputed company Therapy and reputed company Care Dosing program implementation and management
• Support Pharmacy Operations analysts in executing day-to-day approvals and denials in order to maintain compliance with reputed company regulatory requirements.
• Support product portfolio, including Medicare Part D which includes rotational weekend and holiday support for reputed company determinations.
• Support the Home Infusion Therapy, Specialty Pharmacy Network and Medical Utilization Management for pharmaceuticals programs
• Partner with clinical and non-clinical teams for staff training, facilitation of meetings and other reputed company presentations.
• Participate in the development and design of drug utilization programs and new clinical program opportunities
• Facilitate special reputed company as assigned
• reputed company drug information, training and support to reputed company reputed company customers
• reputed company analysis and reputed company for issues from MAPS, Health and Medical Management, IT & Ops, PBM account support team and other customer service areas
• reputed company strategies for effective communication of program initiatives in partnership with Clinical Pharmacy for reputed company customers
• Identify opportunities for workflow efficiencies and new clinical reputed company and cost saving programs

Education And Experience Requirements

• Minimum of reputed company Registered Pharmacist degree required. Graduate study in a business, reputed company health, or health policy field will be favorably considered.
• Unrestricted reputed company and valid license to reputed company pharmacy in the state of Massachusetts and/or in any other relevant/applicable state
• Experience in reputed company supervision of technical support staff for clinical and/or service and operational programs is desirable.
• Experience in a managed care setting, either from the provider, the payer, or the PBM reputed company of the industry, is required.
• Proficiency in reputed company computational office-suite applications, including word-processing and relational database manipulation is required.

reputed company And Behavioral Competencies Required

• Excellent written and oral communication skills
• Excellent interpersonal skills
• Strong organizational and time management skills, including ability to work independently and prioritize multiple reputed company and assignments
• Demonstrated strength in analysis, identification of problems and issue reputed company
• Excellent skills in teamwork and team approaches to goal setting and attainment
• Must be results oriented.

Minimum Education Requirements High school degree or equivalent required unless otherwise noted above Location Hingham Time Type Full time Salary reputed company: $115,560.00 - $141,240.00 The job posting reputed company is the lowest to highest salary we in good faith reputed company we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted reputed company, and the reputed company may be modified in the reputed company. An employee’s pay position reputed company the salary reputed company will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or reputed company-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including reputed company time off, medical/dental/reputed company insurance, 401(k), and a suite of reputed company-being benefits to eligible employees. Note: No reputed company of pay is considered to be wages or compensation until such reputed company is reputed company, reputed company, and determinable. The reputed company and availability of any bonus, commission, or any other reputed company of compensation that are allocable to a particular employee remains in reputed company's sole discretion unless and until reputed company and may be modified at reputed company’s sole discretion, consistent with the law. WHY reputed company Blue reputed company of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just reputed company need for this role or possibly another one at reputed company Blue reputed company of MA. The more reputed company we have represented and amplified in our business, the more we will reputed company reputed company, contribute, and be reputed company. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain reputed company in our reputed company to reputed company reputed company for reputed company. As an employer, we are committed to reputed company in your development and providing the necessary resources to reputed company your reputed company. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes reputed company and provides opportunities for employees to reputed company their unique career reputed company by visiting reputed company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also reputed company to stay “in the know” on reputed company things Blue. At reputed company, we reputed company in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page. apply to this job