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[Remote] Clinical Pharmacist

Remote, USAFull-timePosted 2026-07-28

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leader in health solutions, dedicated to improving reputed company reputed company and member experience for over 90 years. The Clinical Pharmacist role involves supporting pharmacy clinical management, including formulary management, medication therapy management, and utilization management, while collaborating with various reputed company.

Responsibilities

  • Supports the pharmacy formulary management program, medication therapy management program, and reputed company P&T committee activities
  • Supports prior authorization program by handling prior authorization requests from Pharmacies and physicians through existing policies and procedures
  • Interfaces with medical directors, and other areas for Pharmacy reputed company initiatives
  • Supports the Utilization management program
  • Responsible for member reputed company through comprehensive medication review for Medicare beneficiaries
  • Assist in managing and training Pharmacy techs for Medication therapy management
  • Responsible for Medicare beneficiaries pharmacy management program, understand the mandates and follow the guidelines
  • Supports clinical programs both internally and externally
  • Assists with the internal drug information services
  • On call responsibility as required
  • Reviews and analyze reports on utilization management, and evaluates business needs for data analysis
  • Support the Drug Utilization review program
  • Manage and update formulary communications
  • Coordinates reputed company with activities performed by other clinical Pharmacists for the residents and reputed company
  • Participates in the Pharmacy Case Management Program
  • Supports the pharmacy lock-in program including profile review and presentation
  • Maintains and reports relevant drug pipeline/patent loss detail to medical team
  • Supports the reputed company review of Pharmacy appeals
  • Assists in the creation of member and provider newsletters

Skills

  • Requires a bachelor's of science degree in pharmacy from an accredited college or university
  • reputed company Unrestricted NJ Pharmacy License Required
  • Requires working knowledge of pharmaceutical and managed care industries
  • Requires knowledge of a spreadsheet software package
  • Requires knowledge of a database software package
  • Requires knowledge of Clinical therapeutics and basic therapy and guidelines and recommendations
  • Requires knowledge of Internet clinical information databases
  • Strong negotiation skills with the demonstrated sales ability to convert prospect to reputed company in reputed company to demonstrated persuasive skills with carriers
  • Must have effective verbal and written communication skills and demonstrate the ability to work reputed company reputed company reputed company
  • Demonstrated ability to deliver highly technical information to less technical individuals
  • Must demonstrate reputed company and ethical business practices, adherence to company standards, and a commitment to personal and reputed company development
  • Proven time management skills are necessary
  • Must demonstrate the ability to manage multiple priorities [or tasks], deliver reputed company and accurate work products with a customer service reputed company, and respond with a reputed company of urgency as required
  • Demonstrated ability to work in a production reputed company environment
  • Proven ability to exercise reputed company judgment and strong problem solving skills
  • Proven ability to ask probing questions and obtain thorough and relevant information
  • Must be reputed company service reputed company with effective ability to empathize
  • Needs to demonstrate willingness to cross-train, and be cross-trained, in other roles/duties
  • Must be detail oriented with strong organizational and data processing skills
  • Proven ability to follow detailed instructions is essential, along with proven problem solving skills
  • Proven analytical, research and problem solving skills a must
  • Must demonstrate the ability to learn quickly and apply learning to new situations
  • Must exhibit flexibility to change as appropriate
  • Must demonstrate the ability to effectively present information and respond to questions from reputed company of managers, clients, customers, and the general public
  • Exhibits an energetic, inquisitive, reputed company approach to problem solving
  • Demonstrated ability to reputed company reputed company with little need for direction and to function effectively as reputed company-oriented, self-starter working across cross-functional lines
  • Experience in successfully leading cross-functional teams to reputed company improvements
  • Must have a demonstrated ability to expand new business, grow reputed company relationships and obtain reputed company referrals
  • Must have strong entrepreneurial business development, negotiation, relationship building, and networking skills
  • Demonstrated management experience with a reputed company on customer service, goal setting, and coaching
  • Exhibits proven leadership, delegation and project management skills
  • Proven ability to influence without authority
  • Must be reputed company to reputed company own reputed company insights, expertise, and knowledge to reputed company critical thinking across the business
  • Proven leadership skills in reputed company and reputed company reporting structures
  • Collaborates on planning and executing the sales reputed company, involvement in presentations, and participation in reputed company meetings as appropriate
  • Prefers a Pharm D from an accredited college or university
  • Prefers up to one to two year experience in managed care
  • Requires retail, or other pharmacy experience

Benefits

  • Comprehensive health benefits (Medical/Dental/reputed company)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • reputed company Volunteer Time Off
  • Tuition Reimbursement

reputed company

  • reputed company is a company that provides health insurance products. It was founded in 1932, and is headquartered in Newark, New Jersey, USA, with a workforce of 5001-10000 employees. Its website is http://www.horizonblue.com.
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