Clinical Pharmacist- OKC

A Clinical Pharmacist job in Oklahoma City, OK is available through Adecco Medical & Science. The purpose of this position is to process requests for insurance coverage of formulary and non-formulary drugs that reject at the dispensing pharmacy based on pre-determined plan criteria. Plan criteria are setup based on evidence based medicine and includes the exercise of appropriate clinical judgment. Prior Authorization staff pharmacists review all adverse coverage determinations before final decisions are rendered and as required by law work in conjunction with medical directors to render final decisions on coverage determinations. This is a dynamic work environment and requires flexibility to meet business needs and adaptability to frequent changes. Teamwork is the norm and all employees will be held accountable to work as effective team members.

Primary Responsibilities:

This position is for a Clinical Pharmacist working in the Prior Authorization unit within Customer Service department of OptumRx, a UnitedHealth Group company.
This is a call center based business segment and strict work guidelines are employed.
The pharmacist’s primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment.
Work is computer based and may include receiving phone calls from prior authorization pharmacy technicians and/or providers where clinical information is involved.
Role may include consulting physicians/providers with questions and interpretations of clinical guideline criteria and coverage determinations that have been rendered.
Role may include participating in quality improvement and process enhancement projects as assigned by management.
Role may include consulting with PA technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
Dedication to build rapport with coworkers, internal customers, and other departments by demonstrating a strong customer service orientation and a continuous positive image of OptumRx.
Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team.
Perform other duties as required.


Specific Requirements:

Active State in which pharmacist is employed license is required.
1-3 years practicing pharmacist experience is preferred.
Strong drug product and clinical pharmacy knowledge is required.
1-3 years pharmacist experience working in a clinical pharmacy practice setting is preferred.
Pharm.D. degree and completion of Pharmacy Residency is preferred.
Experience developing or operationalizing medication clinical guidelines and/or formulary development is preferred.
Experience working with a PBM company or managed healthcare system is preferred.
Computer and typing proficiency is required, including MS Office applications (Word, Excel, PowerPoint and Outlook).
Excellent written and oral communication skills are required.
Excellent interpersonal and problem-solving skills are required.
Strong customer service orientation and commitment to professionalism is required.
Demonstrated ability to work independently with minimal supervision is required.


Additional:


How many weeks is training? 4 weeks
What are the training hours? M-F 8am-5pm
What are the facility hours? 24 hours



Shift after training? M-F 10:30am-7pm and possible Saturdays
Occasional Weekends: Saturday 8am-430pm
Holiday Hours: Possible, depends on business needs
Possible overtime


If you are interested in this Clinical Pharmacist job in Oklahoma City, OK then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position or would like more information, please contact Sindie Rothstein at 858-410-1108 or by email at Sindie.rothstein@adeccona.com


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Reference number US_EN_2_108175_333999