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Pharmacist-Health Plan

Job ID #1955706

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About this Role

As a Pharmacist, you play a vital role in promoting safe, effective, and cost-efficient medication use while supporting the overall goals of the health plan in improving member health outcomes.

  $52.98 / hour

  Remote, National

  New
  Profession: Pharmacist
  Specialty: Health Plan
  Division:  MedFi
  Start Date: 11/30/2025

Responsibilities

   Condut activities to ensure safe and cost-effective medication use. This involves monitoring medication patterns, identifying potential misuse or overuse, and implementing interventions as needed
   Participate in quality improvement initiatives aimed at enhancing medication-related outcomes, such as medication adherence and safety.
   Educate healthcare providers within the network about the health plan's formulary, coverage policies, and medication-related initiatives to ensure alignment with best practices and optimize patient care.
   Review medication requests that require prior authorization to ensure they meet clinical criteria for coverage. This involves assessing the appropriateness of the medication based on medical guidelines and making coverage decisions accordingly.
   Develop and manage the formulary, which is the list of medications covered by the health plan

Required Qualifications

   Active Registered Pharmacist License
   2 years of experience as a Pharmacist
   1 year within a Managed Care setting

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