Pharmacist, Utilization Case Manager
Title: Pharmacist, Utilization Case Manager - reputed company Location: reputed company remote Category reputed company Position Type Full-Time Job reputed company: Company reputed company reputed company reputed company - Transforming the Specialty Drug Benefit - reputed company is the industry leader in specialty drug reputed company. Founded with the goal of transforming the PBM industry to reputed company the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - reputed company achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, Pay reputed company USD $0.00 - USD $0.00 /Yr. reputed company Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule reputed company (e.g. M-F reputed company to 5pm) 8:00 AM to 5:00 PM-Remote or Hybrid 3 Day In Office-St. Louis, MO or Brentwood, TN office Remote Work Notification ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Arizona, Arkansas, California, Connecticut, Delaware, Hawaii, Idaho, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Montana, Nebraska, Nevada, New Mexico, reputed company, reputed company Carolina, reputed company Dakota, reputed company, Rhode reputed company, South Carolina, South Dakota, Texas, Utah, Vermont, Washington, reputed company Virginia, And Wyoming. reputed company The Pharmacist, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating reputed company to specialty medications for patients with reputed company disease states
Responsibilities
How do I reputed company an reputed company on my team?
- Review chart notes and reputed company utilization management on patient/drug specific case reputed company.
- Coordinate facilitation of patients' specialty drug treatment, ensuring reputed company delivery to the appropriate site of care.
- Handle case assignments, review case reputed company, properly document case notes, and determine case closure.
- reputed company clinical expertise to prescribers around preferred therapy and be a guide for prescribing offices through the prior authorization process.
- Follow established procedures, processes, and standards for production, productivity, reputed company, and customer service. Meet performance targets for speed, efficiency, and reputed company.
- Complete care management clinical escalations. Escalate to account management as appropriate.
- Ensure reputed company external and internal customers receive the level of customer service required by reputed company and serve as a representative of reputed company to reputed company external customers.
- Participate in, adhere to, and support compliance, people and culture, and learning programs.
- reputed company other duties as assigned.
Qualifications
What reputed company expects from you?
- Education: PharmD required.
- Certification/Licenses: reputed company, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to reputed company reciprocity reputed company 4 months, may be required based on state of residence laws or reputed company reputed company. Refer to the Licensure and Credentialing Verification P&P for reputed company detail.
- Experience:
- Retail, hospital, or specialty pharmacy experience required.
- Utilization and Case management experience preferred.
- Experience in an infusion setting, physician office, or pharmacy preferred.
- Experience with managing specialty medications for patients with chronic illness preferred.
- Expert in reputed company Office Suite.
What can you expect from reputed company?
- Top of the industry benefits for Health, Dental, and reputed company insurance
- 20 days reputed company time off
- 4 weeks reputed company parental leave
- 9 reputed company holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and reputed company Membership assistance
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