Reporting to the Manager of Pharmacy Operations, the Clinical Pharmacist I is primarily responsible for the pharmacy utilization management (UM) activities, including review of all pharmacy prior authorization requests, oversight of the UM activities of the Pharmacy Services support staff, maintenance of pharmacy UM programs, provide clinical peer-to-peer consultation as needed, provide pharmacy-related customer service to internal and external parties, and serve as a subject matter expert for claims issue resolution. In addition, the Clinical Pharmacist I may provide implementation support for formulary management decisions and clinical policies and provide peer trainings as needed. The Clinical Pharmacist I may also participate in care management activities as needed.
KEY FUNCTIONS/RESPONSIBILITIES:
QUALIFICATIONS:
EDUCATION:
EXPERIENCE:
REQUIRED LICENSURE, CERTIFICATION OR CONDITIONS OF EMPLOYMENT:
COMPETENCIES, SKILLS, AND ATTRIBUTES:
WORKING CONDITIONS AND PHYSICAL EFFORT:
*Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Required Skills Required Experience
+--------------------------------------------------------------------------+ | | | | | KNOWLEDGE, SKILLS AND ABILITIES | +--------------------------------------------------------------------------+
+--------------------------------------------------------------------------+ | - Proven ability to work as a cashier. | | - Ability to motivate and lead others. | | - Ability to use a computer office programs and other | | office equipment. | | - Knowledge of basic mathematics. | | - Ability to learn cash handling and credit cards and/or | | accounting procedures. | | - Ability to reconcile accounts. General knowledge of cash handling, | | general accounting, and auditing. | | - Ability to coordinate times for various scheduled events for groups | | and individuals | | - A friendly, polite and courteous attitude. | | - Ability to handle complaints, work under pressure and | | resolve problems. | | - Telephone and customer service communication skills are essential. | | - Ability to notice the appearance of the facility and to take steps | | independently to improve problem areas by contacting Management or | | facility maintenance workers. | +--------------------------------------------------------------------------+