• Job Description

  Req#: 25-69063
  
  Job Profile Summary
  Position Purpose: Define and develop standard and custom formularies for assigned plan.
  
  Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.
  
  Licenses/Certifications: Current state’s Pharmacist license with no restrictions.
  
  Responsibilities
  • Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
  • Monitor prior authorization requests
  • Provide clinical support to internal departments and address clinical related questions
  • Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
  • Develop and implement programs designed to impact DUR for both Medicaid and Medicare
  • Develop, implement, and maintain policies and procedures for the pharmacy department
  • Participate in the coordination of the Medicare MTM program
  • Assist case management team with members including clinical rounds presentations
  
  EEO:
  
  “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
  
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  Job Profile Summary Position Purpose: Define and develop standard and custom formularies for assigned plan. Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. Licenses/Certifications: Current state’s Pharmacist license with no restrictions. Responsibilities • Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated • Monitor prior authorization requests • Provide clinical support to internal departments and address clinical related questions • Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice • Develop and implement programs designed to impact DUR for both Medicaid and Medicare • Develop, implement, and maintain policies and procedures for the pharmacy department • Participate in the coordination of the Medicare MTM program • Assist case management team with members including clinical rounds presentations
  Story Behind the Need
  What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative?	Clinical pharmacist supporting outreach to providers and pharmacies to drive pharmacy gap closure for quality programs. Pharmacist will also assist with pharmacy appeal reviews. Individual work-assigned specific tasks to complete each day. Surrounding team members that will be able to help support if needed.
  Typical Day in the Role
  Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique?	Performance expectations/metrics include completing targeted outreach; completed medication appeal reviews timely. Specific metrics will vary depending on the coverage
  Candidate Requirements
  Education/Certification	Required: bachelor or doctor of pharmacy degree	Preferred:
  Licensure	Required: Pharmacist license	Preferred: highly prefer Indiana license -to help appeals with local Indiana pharmacy team
  Years of experience required: 2+ years of experience and 1+ year of residency. Disqualifiers: too much job hopping, short term roles, Additional qualities to look for: multi-tasking and ability to manage multiple given assignments throughout each day.
  Top 3 must-have hard skills stack-ranked by importance	1	Strong written and oral communication skills
  2	Strong prioritization skills
  3	Shows initiative
  Candidate Review & Selection
  Shortlisting process Candidate review & selection Interview information Onboard process and expectations	Projected Manager Candidate Review Date:	1-2 days post shortlisting
  Type of Interviews:	Teams-camera on
  Required Testing or Assessment (by Vendor):	NA
  Next Steps
  Additional background check requirements (List DFPS or other specialty checks here)
  Do you have any upcoming PTO?
  Colleagues to cc/delegate
  Are there any training requirements (time off, alternate schedule, etc.)?
  
  
  

• About the company

  Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.

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