About this opportunity
Arkansas Blue Cross and Blue Shield lists this Clinical Pharmacist Part-Time opportunity in little rock, Arkansas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job Summary
The Clinical Pharmacist will report to and operate under the direction of Pharmacy Leadership and will also be expected to work cooperatively and sometimes independently with all medical directors and enterprise personnel.
Requirements
EDUCATION
Bachelor's degree in Pharmacy from an accredited college of pharmacy
LICENSING/CERTIFICATION
Holds an active and current, unrestricted license in pharmacy in the state(s) where job duties are performed required
Experience
Minimum three (3) years' pharmacy practice experience
Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred
This position may require up to or around 24 hours a week.
Essential Skills & Abilities
Oral & Written Communication
Presentation
Organizational
Analytical
Problem-Solving
Decision-Making
Skills
Coaching Others
Conflict Resolution
Continuous Learning
Critical Thinking
Delegating Tasks
Employee Engagement Strategies
Evaluating Information
Interpersonal Communication
Interpersonal Relationships
Management Techniques
Monitor Processes, Materials, or Surroundings
Oral Communications
Problem Sensitivity
Researching
Service Oriented
Time Management
Written Communication
Responsibilities
Assists in development of and supervises the drug utilization and prior authorization review program
Contributes to and supports Enterprise-wide undertakings and commitments
Develops, implementks, and manages pharmacy cost containment strategies
Develops and implements pharmacy cost containment strategies tailored to the specific situations and patterns of the enterprise, specific regions, and large accounts
Drafts medical criteria and performs other activities in support of the enterprise prior authorization program
Prepares and presents reports, data and analyses on the utilization and cost trends for enterprise lines of business, specific regions, and large accounts
Provides leadership and advice on developing and implementing pharmacy reimbursement, claims processing policies and procedures, and pharmacy vendor selection
Serves as a corporate pharmacy resource to medical management, operations, and sales staffs on pharmacy issues
Serves as a liaison to individual pharmacists, professional pharmacy organizations, internal committees, case management, medical management, and other providers on pharmacy issues
Uses clinical knowledge and independent critical thinking skills towards interpreting criteria, policies, and procedures to make determinations on prior approval reviews and retrospective reviews
Works with the clinical and operations staff of all vendors of pharmacy programs to ensure that members and providers are receiving a satisfactory-level of service
Certifications
Security Requirements
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of Duties
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment Type
Regular
ADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.
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Worksite address
little rock, AR, 72208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.