Change Healthcare Clinical Pharmacist in Seattle, Washington
Clinical Pharmacist Overview of Position
The Clinical Pharmacist is the primary staff clinician and drug information specialist for the Texas Medicaid single pharmacy benefit (SPBM) account. The Clinical Pharmacist is responsible for preparing clinical reports, drug monographs, doing prior authorizations and preparing and/or presenting information to the various boards (i.e. DUR Board) and committees (i.e. P&T Committee). The Clinical Pharmacist also assists the Data Analysts by providing clinical criteria for reporting.
What will be my duties and responsibilities in this job?
Actively support the Pharmacy Account Manager and Clinical Account Manager;
Serve as the Contractor’s drug information specialist
Serve as Contractor’s subject matter expert for Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes pertaining to drugs, including the pricing of procedure coded drugs dispensed by non-pharmacy providers such as practitioner offices and outpatient clinic settings
Attend professional association meetings, as required by DMS
Manage clinical call center and other issues related to drug prior authorizations
Monitor prior authorization trends and make clinically and financially sound recommendations to DMS
What are the requirements needed for this position?
Licensed registered Washington Pharmacist with 3-5+ years of hospital, home infusion, community & long-term care pharmacy practice experience
3-5+ years of experience with the government or a private sector health care payer
3-5+ years of experience with claims processing systems (including Medicaid)
3-5+ years of experience with drug information systems
What other skills/experience would be helpful to have?
Previous experience with clinical call centers with large healthcare payers
Experience with Pharmacy Benefit Managers (PBM’s)
What are the working conditions and physical requirements of this job?
General office demands
How much should I expect to travel?
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to firstname.lastname@example.org with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
- Change Healthcare Jobs