The Pharmacy Management division is looking to add a Clinical Pharmacist focused on medical drug policy oversight and development. This role will focus on clinical criteria writing for provider-administered drug products, ensuring alignment with FDA labeling and compendial support. This position will present new and revised policies to the Pharmacy & Therapeutics (P&T) Committee monthly and quarterly. Expertise in drug policy development, drug information, and P&T committee presentation strongly preferred.

Preferred qualifications include:

• Prior experience in clinical drug policy development and maintenance.
• Prior experience with drug information and literature evaluation.
• Pharmacy & Therapeutics (P&T) Committee experience.

Job Responsibilities

• Assists in development and maintenance of formularies, clinical criteria, and/or drug management processes.
• Serves as a clinical resource and drug information specialist to medical, pharmacy, & nursing staff as well as to allied healthcare providers internally and externally.
• Receives and responds to prescriber, representative, and member pharmacy prior authorizations, appeals, grievance requests within regulated time periods.
• Provides and participates in ongoing maintenance, record keeping and oversight to support NCQA, URAC, and CMS quality and audit readiness on a monthly and quarterly basis.

Job Qualifications

Education

• Doctor of Pharmacy (PharmD) Degree

Experience

• 5 years - Clinical experience required, and/or completion of 1 year residency and/or Board of Pharmacy Specialties certification.

Skills\Certifications

• Competency in compendia navigation and research
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
• Must be a team player, be organized and have the ability to handle multiple projects
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Solid understanding of regulatory guidelines (FDA, NCQA, EQRO, CMS)
• Knowledge of medical and pharmacy products

License

• Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the state of Tennessee to practice Pharmacy

Number of Openings Available:

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