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Job description
An opportunity for a Clinical Pharmacist Specialist (CPS) focused on managed care is available with a contract position offering remote work Monday through Friday. This role serves members by delivering clinical pharmacy services that support coordinated, evidence-based, and cost-effective care. The CPS collaborates closely with medical directors, nurse case managers, network physicians, and other providers to optimize medication therapy and improve health outcomes.
Key Responsibilities:
Conduct Medication Therapy Management (MTM) and population-based disease management initiatives.
Manage specialty pharmaceutical acquisition and coordinate care efforts.
Perform drug utilization reviews and develop clinical pharmacy programs.
Contribute to clinical policy development and participate in Pharmacy and Therapeutics Committee activities.
Review pharmacy and medical claims with strong attention to detail.
Educate and consult with members, caregivers, physicians, pharmacists, and nurses.
Communicate therapeutic recommendations effectively to healthcare providers.
Maintain ongoing professional development and clinical education.
Work efficiently within a fast-paced, complex, and dynamic healthcare environment.
Qualifications/ Desired Experience: Current Pharmacist License in Oregon, Washington, or California.
Minimum of 3 years of experience in a managed care setting, including prior authorizations, audits, appeals, and ALJ court hearings.
Strong communication and organizational skills with the ability to prioritize multiple tasks.
Commitment to enhancing quality of care and managing costs effectively.
Schedule: Remote work, Monday through Friday.
Rare weekends required a few times per year.
This contract role is ideal for pharmacists seeking a challenging managed care position with flexible remote work. If you meet the qualifications and are motivated to impact patient care positively, we encourage you to apply today.
Worksite address
hillsboro, OR, 97104, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.