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    Navitus Health Solutions, LLC

    Pharmacy Benefit Management

    Clinical Pharmacist - Utilization Management Archimedes

    Earth City, United StatesOn-SiteFull-time3+ yrs experiencePosted 1mo ago
    All Navitus Health Solutions, LLC jobs

    Job description

    Company

    Archimedes

    Work Schedule Description (e.g. M-F 8am to 5pm)

    M-F 8am to 5pm Hybrid In Office- 3 Days

    Hiring Manager : Full Name: First Last

    Elaine Tucker

    Overview

    Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.

    This role will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional drugs. In addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies.

    The Clinical Pharmacist is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This individual will be able to successfully communicate with physicians, nurses, pharmacists, and members related to high-cost case concerns, dose management, genetic testing, therapeutic substitutions and cost management related to specialty drugs. Clinical subject matter expert is required to conduct peer to peer consultations with physicians.

    Position can be located in either our Brentwood, TN or St Louis, MO offices.  Remote employment also considered.

    Responsibilities

    • Develop and deliver clinical messages to physicians, members, clients, and consultants
    • Manage prior authorization, high-cost cases, claims editing and clinical policy development
    • Clinical program development including both medical and pharmacy benefit management
    • Define, document, and deliver results for plan sponsors.
    • Evaluate and summarize clinical literature as well as financial implications related to medication management options
    • Ability to present deep clinical and cost effectiveness information as a peer-to-peer consult.

    Qualifications

    • Doctor of Pharmacy (PharmD)
    • Current pharmacist license (RPh) in good standing with a State Board of Pharmacy
    • Board of Pharmacy Certification, preferred for Pharmacotherapy, Ambulatory Care or Oncology Care
    • 3 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency preferred.
    • Pharmacy and Medical specialty benefit knowledge and experience
    • Independent, proactive, forward-thinking, creative problem solver, results-oriented
    • Ability to work well in team environment
    • Strong verbal/written communication skills
    • Strong physician-facing clinical communication skills
    • Microsoft Excel, Power Point and Word proficiency

    Pay Range

    USD $0.00 - USD $0.00 /Yr.

    Job details are sourced from the employer's original posting.

    Open job posting
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    About the company

    Navitus Health Solutions, LLC

    Navitus Health Solutions is a full-service pharmacy benefit manager (PBM) that provides innovative solutions to employers, health plans, and government agencies.

    View all Navitus Health Solutions, LLC jobs
    Industry
    Pharmacy Benefit Management
    Open roles
    152

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