1+ months

Clinical Pharmacist - (119330)

Universal Health Services
Reno, NV 89501
  • Job Code
    119330
  • Jobs Rated
    33rd

Job Summary: The Clinical Pharmacist executes clinical programs related utilization management, care management, and quality improvement. To do this, this position will have knowledge of pharmaceutical services provided under both the pharmacy and medical benefits. The position will also provide general clinical support to customer service, claims, sales, and other departments across all lines of business including Commercial fully insured, self-insured, and Medicare Advantage products. The position will regularly interface with the pharmacy benefits manager, pharmacies, provider offices, members, brokers, and employer groups. This position will also assist with compliance and business development activities.

Job Requirements

Requirements:

Required education: Pharm.D. or BS Pharmacy

Required licensure: Current Nevada and Texas pharmacist licensure in good standing or ability to obtain Nevada and Texas licensure within 6 months of hire

Preferred:

o 3+ years of previous health plan experience, including Medicare Advantage

o 3+ years in pharmacy infusions operations

o Written and verbal Spanish language proficiency

Specialized subject matter expertise in one or more of the following topics required:

Home pharmacy infusions operations

Commercial HMO/PPO/POS

Medicare Part D

Mail Service/Specialty pharmacy

Pharmaceutical benefit design

Other facets of pharmaceutical, managed care, and PBM industries

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

Skills:

Proven experience in a customer-facing role.

Excellent communication skills.

Must be able to write effectively

Comfort with both phone and face-to-face communications

Familiarity with the pharmaceutical, managed care, and PBM industries

Familiarity with and ability to quickly learn multiple software tools

Claims Processing Platforms (extensive knowledge required)

CRM tools

Reporting platforms (must be able to write ad hoc queries in at least one reporting tool)

Intermediate level MS Office skills

Categories

Jobs Rated Reports for Pharmacist

Posted: 2020-01-11 Expires: 2020-04-01

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Clinical Pharmacist - (119330)

Universal Health Services
Reno, NV 89501

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Pharmacist
33rd2018 - Pharmacist
Overall Rating: 33/220
Median Salary: $124,170

Work Environment
Good
59/220
Stress
Very Low
43/220
Growth
Poor
168/220
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