About this opportunity
Clarest Health OHIO, LLC lists this Clinical Service Center Pharmacist opportunity in troy, Ohio. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Description
Remedi SeniorCare (a division of Clarest Health) is a leading pharmacy innovator dedicated to servicing long-term care facilities and senior living communities. Our mission is to provide exceptional person-centered care through advanced technology solutions and clinical expertise. As a part of the Remedi team, you\'ll be contributing to a mission-driven organization that is redefining the future of pharmacy services and making a meaningful impact on the lives of patients and healthcare professionals across the nation.
The Clinical Service Center Pharmacist works in collaboration with the Director, Clinical Service Center to execute day-to-day operational needs, including clinical review of rejected claims, recommending clinically appropriate covered alternative medication, overseeing the processing of Automatic Therapeutic Interchange (ATI) recommendations and meeting the requirements of the Clinical Service Center. Adheres to the company\'s quality and customer service standards, policies and procedures, and state and federal guidelines in the LTC pharmacy to ensure quality production, work flow and achieving operational goals and objectives.
Location
962 Dorset Rd, Troy, OH 45373. Remote after training with occasional onsite work required. Must live within commutable distance to office.
Salary
$110,000- $115,000, depending on experience OPEN TO NEW GRADS!
Schedule
Monday, Wednesday, Thursday, Friday 1:30pm-11:00pm along with every 8th weekend 8:00am-6:00pm.
Training
8 weeks of training onsite.
What We Offer
Comprehensive Medical, Dental and Vision Insurance (as low as $13.33/pay)
Paid Time Off
Free Virtual Care – Telemedicine
401k with company match
Closed-door Pharmacy - No more face-to-face meetings with customers
Referral Bonuses
Life Insurance
Make a difference in the lives of others!
We are growing and that means more opportunities
Key Responsibilities
Responsible for oversight clinical claim reject activity
Make appropriate clinically comparable, formulary alternative recommendations
Review approve clinical documentation associated with prior authorization submissions
Provides CSC Technicians instructions regarding actions to be taken when working with insurance plans and internal / external customers to take steps toward rejected claims resolution
Works in conjunction with other LTC departments ensuring achieving daily volume, quality and service goals
Communicates with customers, insurance companies and internal pharmacy staff to effectively and appropriately resolve rejected clinical claims
Maintains organized record of CSC documentation related to ATI or claims management
Applies superior customer service skills when working with both internal and external customers
Works in collaboration with the CSC Technicians and Director to meet department goals and objectives.
Provides assistance in the development, deployment and management of department and customer supported initiatives
Assists with ensuring safety practices and procedures are adhered to and practiced.
Enforces all company and departmental policies and procedures.
Complies with all applicable state and federal regulations related to pharmacy practices.
Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; talks and acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
Perform related duties and special projects as required or assigned.
Participates in special projects to identify and implement operational improvements. Ability to work with others in a positive productive manner anticipates and responds to the positions areas of responsibilities. Contribute to a positive work environment and overall team effort.
Actively contributes to the evaluation and continuous improvement of LTC pharmacy services, policies and procedures.
Other duties as assigned or directed
The ability to adhere to Clarest\’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer
Qualifications
Doctor of Pharmacy (PharmD) required
Must be eligible for pharmacist licensure and actively working toward licensure in the state of Ohio
License must be in good standing (as applicable)
Skills + Abilities
Strong attention to detail and organizational skills
Clinical knowledge with ability to ensure regulatory compliance
Effective problem-solving and time management capabilities
Proficiency in technical systems and continuous learning mindset
Excellent communication and interpersonal skills for team collaboration
Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.
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Worksite address
troy, OH, 45373, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.