What are the responsibilities and job description for the Clinical Pharmacist - Medicare Experience position at nirvanaHealth | RxAdvance?
Clinical Pharmacist is responsible for utilizing pharmacy acumen, medication expertise, healthcare payer knowledge, related to drug-related prior authorization requirements and medication guidelines to support PA operations (in completing PA reviews), PA technology and automation, consultation on evidence-based guidelines and pharmacy policy, reporting and analytics, and quality management programs.
Candidate MUST have hands on experience in the Medicare environment to manage Medicare Accreditation and Part B, C and D including Medicare Advantage Plans.
Qualifications:
- Doctor of Pharmacy (PharmD) degree from an ACPE accredited college is required.
- Managed Care or Clinical Residency program residency is required.
Professional Experience:
- Recent managed care experience in a PBM or health plan setting.
- Experience with Medicare Part D is required.
- Experience using clinical resources, e.g., Micromedex, Lexicomp, Clinical Pharmacology.
Licenses/Certifications:
- Registered and in good standing with the Board of Registration in Pharmacy. Active, non-restricted pharmacist license.