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Clinical Specialist


PayCompetitive
LocationSan Diego/California
Employment typeFull-Time

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  • Job Description

      Req#: JR101313
      Employer Industry: Pharmacy Benefits Management

      Why consider this job opportunity:
      - Salary up to $188,857
      - Incentive compensation and bonuses available
      - Comprehensive benefits package including medical, dental, vision, and wellness programs
      - 401K with company match and life/disability insurance
      - Opportunities for professional growth and development through tuition reimbursement
      - Collaborative team environment focused on improving healthcare outcomes

      What to Expect (Job Responsibilities):
      - Provide clinical review support services for prior authorization requests, making approval or denial decisions
      - Review and revise medication request guidelines for clinical appropriateness
      - Offer drug information support and research clinical literature for decision-making
      - Prepare utilization and compliance reporting for client plans
      - Educate Prior Authorization Coordinators on PA guidelines and processes

      What is Required (Qualifications):
      - Pharmacy degree (Pharm. D.) or equivalent; 2+ years of related experience
      - Current, unrestricted Registered Pharmacist license in the State of California or another U.S. state
      - Proficiency in Microsoft Office Suite
      - Strong knowledge of pharmacy services in a managed healthcare environment
      - Excellent customer service and communication skills

      How to Stand Out (Preferred Qualifications):
      - Experience in clinical pharmacy practice within a Pharmacy Benefits Management setting
      - Familiarity with prior authorization processes and guidelines
      - Strong analytical skills with the ability to synthesize complex information
      - Experience in project management or coordination
      - Ability to present clinical information effectively to diverse audiences

      #PharmacyBenefitsManagement #HealthcareCareers #ClinicalPharmacist #HealthcareOutcomes #CareerGrowth

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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