Medicaid Clinical Pharmacist - Utah - PRN / Per Diem
The ideal candidate for this position will have a PBM, health plan, or other background working with Medicaid.
The Utah Medicaid Clinical Pharmacist manages and conducts clinical and operational pharmacy processes for the Health Choice beneficiaries by maintaining of the plan formulary, participating in the DUR Board, creating and managing drug use criteria and protocols, reviewing requests for prescription drug services and complex member cases, participating in efforts to improve performance measures, working closely with the designated PBM to ensure pharmacy benefit is compliant with government regulations and requirements, and working with UDOH and Utah ACO Pharmacy Directors on appropriate medication provision to beneficiaries. The Utah Medicaid Clinical Pharmacist also educates appropriate Health Choice staff on specific clinical and operational Medicaid benefit pharmacy topics, processes and documentation and assists the Health Choice Pharmacy Management team and / or VP of Pharmacy services and designee.
Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
Pharmacy degree from an accredited college of pharmacy
Utah state pharmacy license
Pharmacy licensure in good standing
UT drivers license, reliable transportation, and current insurance coverage
At least five (5) years of practice experience with a health plan pharmacy service, managed care environment, and/or retail or hospital pharmacy service
At least two (2) years of practice experience in developing and applying drug use criteria
Job Status: On Call
Job Reference #: 1801678