Job Description

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Clinical Pharmacist (Algo)- REMOTE

Job Description

Maintains the inventory of clinical algorithms. Responsible for coordinating the timing of implementation(s), revisions, revision quality, documentation of changes, and coordinating with IT on release. Creates new and updates existing clinical algorithms based upon relevant source data (e.g. clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners. Complies with all standard operating procedures, policies, guidelines, and work instructions.

Responsibilities

• Collaborates with other clinical personnel in the development and maintenance of clinical algorithms.

• Participates in and supports the clinical committees (e.g. DPD, TAC, P&T, VAC, etc.) as applicable.

• Creates customized Client clinical algorithms and coordinates their release with IT. Maintains a comprehensive inventory of all clinical algorithms, history of revisions, and rationale regarding algorithm management criteria.

• Collaborates with Account Management as well as the Implementation, Clinical, and Strategy teams regarding new Client implementations as well as expansions to existing business; including clinical projects as determined by business needs.

• Collaborating with Clinical Operations, IT, Quality, and Compliance as needed for program support.

• Client support, including but not limited to, responding to inquiries, customization of clinical algorithms, education, QBR support, clinical meetings, audit assistance, special projects, etc.

• Supports clinical policy development and maintenance as determined by business needs.

• Supports program development (e.g., Enhanced Oncology Value, Regimens) and improvement efforts based upon business needs

• Other duties as assigned.

Minimum Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree

• 1 years of pharmacy, managed care and/or pharmaceutical industry experience

• Current pharmacist license in good standing with the State Board of Pharmacy in the State where the position is located.

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Strong interpersonal, consultation, organizational, tracking and follow-up skills.

• Excellent verbal and written communication skills.

• Ability to collaborate and work well as a team.

• Data review and interpretation skills required.

Preferred Qualifications

• Managed care experience (Health Plan or PBM)

• Oncology experience

• Board or Specialty certification

• Decision support tool experience (e.g., order sets)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $108,000.00 - $184,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. ?? ?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

Job Tags

Similar Jobs