Clinical Pharmacist (Algorithm)- REMOTE

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleClinical Pharmacist (Algorithm)- REMOTEJob Description SummaryPerforms prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding the use of pharmaceutical treatment regimens. Complies with all corporate and facility standard operating procedures, policies, guidelines, and work instructions.Job Description

Additional Information

Job Description Summary

Maintains the inventory of MRxM clinical algorithms. Responsible for coordinating the timing of implementation(s), revisions, revision quality, documentation of changes, and coordinating with IT on release.Creates new and updates existing MRxM clinical algorithms based upon relevant source data (e.g. MRxM clinical criteria, client criteria, Medicare LCD, etc.). Provides support for clinical client inquiries and internal partners. Complies with all standard operating procedures, policies, guidelines, and work instructions.

Job Description

Collaborates with other clinical personnel in the development and maintenance of clinical algorithms. Participates in and supports the clinical committees (e.g. DPD, TAC, P&T, VAC, etc.) as applicable. Communicates revisions with relevant internal partners. Creates customized Client clinical algorithms and coordinates their release with IT.

May participate in formulary development and management.

Maintains a comprehensive inventory of all clinical algorithms, history of revisions, and rationale regarding algorithm management criteria.

Collaborates with Account Management as well as the Implementation and Clinical teams regarding new Client implementations as well as expansions to existing business; including clinical projects as determined by business needs. Collaborating with Clinical Operations, IT, Quality, and Compliance as needed for program support.

Client support, including but not limited to, responding to inquiries, customization of MRxM clinical algorithms, education, QBR support, clinical meetings, audit assistance, special projects, etc.

Supports clinical policy development and maintenance as determined by business needs.

Adheres to organizational policies and procedures. Ensures compliance with Federal and State laws and standards of practice which govern the profession of pharmacy. Maintains pharmacy records in accordance with all applicable state and federal laws and regulations. Maintains clinical skills and knowledge of pharmacotherapy by reviewing the literature, continuing education and any company provided in-services. Completes all mandatory company provided on-line courses. Attends and completes all employee development courses.

Performs other duties as required.

ResponsibilitiesStrong drug product and clinical pharmacy knowledge.License must be current and in good standing.Work ExperienceWork Experience - Required:PharmacyWork Experience - Preferred:EducationEducation - Required:Bachelors - PharmacyEducation - Preferred:PharmD - PharmacyCertificationsCertifications - Required:RPH - Registered Pharmacist - Pharmacy - PharmacyCertifications - Preferred:PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy - PharmacyPotential pay for this position ranges from $95,840.00 - $162,920.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ​ If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.