Medicare Clinical Pharmacist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Clinical Pharmacist responsible for evaluating Medicare UM requests, ensuring compliance with clinical intentions. Collaborate with healthcare providers and team members in a remote capacity.
Responsibilities:
- Responsible for the clinical evaluation and determination of client UM requests, which includes consideration of the denial language, as well as the appropriateness of the decision as it pertains to the clinical intent of the individual program criteria.
- Accountable for direct consultation with health care providers concerning non-formulary and clinical product coverage issues.
- Collaborate with team members to promote consistency of clinical decisions across the pharmacist team.
- Other duties as assigned.
Requirements:
- Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.
- Current pharmacist license in good standing at local State Board of Pharmacy .
- Confident in making clinical decisions independently.
- Ability to prioritize tasks and manage multiple projects simultaneously.
- Motivated self-starter who does not require constant direction or feedback to drive results.
- Flexibility to evolve in a dynamic working environment.
- Proficient with learning new computer systems and using multiple monitors.
Similar Jobs
Pharmacist-In-Charge
Pharmacist overseeing non-dispensing pharmacy operations at UNITAS. Collaborating on clinical oversight and compliant pharmacy workflows in a digital healthcare environment.
Pharmacy Clinical Coordinator – Critical Care
Pharmacy Clinical Coordinator providing critical care medication management at Cleveland Clinic. Collaborating with healthcare teams for improved patient outcomes in ICU settings.
Associate Veterinary Officer, Pharmacy
Associate Veterinary Officer ensuring clinical accuracy and quality of drug-related content for veterinary professionals. Collaborating with specialists and managing content workflows in a remote environment.
No more related jobs available.