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HMS, a Gainwell Company, is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Clinical Pharmacist
Location
Wisconsin
Posted
13 days ago
Salary
$113.7K - $162.4K / year
Seniority
Senior
Job Description
Clinical Pharmacist
Gainwell Technologies
• supports efforts in the development of pharmacy solutions programs including prior authorization criteria development • supports prospective and retrospective Drug Utilization Review (DUR) activities by reviewing physician prescribing patterns • provides consultation on pharmacy-related issues to clinical operations representatives • leads and/or supports operational initiatives and projects including strategic planning and implementation • evaluates drug and drug class reviews based on sound, evidence-based research • engages in discussions with practicing physicians and other prescribers to consult on specialty medication prescribing • regularly reviews and monitors prescription claims data and identifies prescribing outliers • works with Gainwell staff to contact prescribers requiring consultation
Job Requirements
- Registered Pharmacist with active State Licensure
- PharmD (preferred) or Bachelor of Pharmacy degree
- Minimum of 5 years of experience in clinical pharmacy or PBM
- Knowledge of Medicaid at the state and/or federal level
- Knowledge of pharmacy-related aspects of Medicaid
- Experience with P&T Committee and DUR Board participation
- Ability to communicate clearly and accurately in both written and verbal English
- Ability to perform clinical reviews using relevant compendia and clinical trial data
- Managed care pharmacy experience is a plus
- Strong research and implementation skills in practical settings
- Strong analytical skills with ability to translate findings into practical recommendations
- Strong team orientation with respect for all members
- Strong interpersonal skills to support collaboration with internal and external stakeholders
- Excellent organizational, written, and verbal communication skills
- Maintains confidentiality and complies with HIPAA requirements
- Proficient in Microsoft Office applications and ability to learn proprietary systems quickly
- Strong organizational and problem-solving skills
Benefits
- generous, flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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