Clinical Pharmacist

Health Care Support Staffing, Inc. (HSS) is a proven industry‑leading national healthcare recruiting and staffing firm that has placed healthcare professionals in a variety of clinical and non‑clinical positions across the United States.

Health Care Support Staffing maintains strong relationships with top providers and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise.

Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long‑lasting and rewarding career!

We are aggressively seeking a Clinical Pharmacist to join a large Healthcare organization. As the year 2017 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a Clinical Pharmacist with one of the fastest‑growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development! This exciting opportunity will require a Clinical Pharmacist who can provide a high level of service and attention to their patients. If you are a Clinical Pharmacist and you meet the qualifications listed below, please click apply below for consideration.

• Review specialty medication prior authorization requests according to established treatment protocols, clinical criteria and member benefits, and make coverage determinations within the defined turnaround times and meet regulatory requirements.
• Responsible for clinical criteria for specialty medications including analysis, monitoring of industry trends and develop criteria recommendations for Pharmacy and Therapeutics Committee and clients.
• Define and coordinate prior authorization and drug utilization reviews reports for clients and ensure regulatory reporting requirements for drug utilization review and fraud and abuse reporting are met.
• Oversee the drug utilization review and medication therapy management programs for specialty medications at the assigned plan to meet regulatory requirements and develop systematic reviews of prescription claims to meet strategic initiatives.
• Develop and design specialty medication clinical edits for claims adjudication and enhanced drug utilization review.
• Provide clinical guidance, support and oversight to the assigned Pharmacy Technicians.
• Develop and review guideline criteria for prior authorization and non‑formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design.
• Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practice specific to specialty pharmacy.
• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization review.

• Bachelor’s or advanced degree in pharmacy.
• 5+ years of recent specialty, Pharmacy Benefits Management (PBM) or Managed Care experience.
• Knowledge in Med D and Prior Authorizations or Pre‑certifications.
• Knowledge in insurance experience (Medicare, Medicaid, commercial).
• Computer skills are a must (MS Excel, Word, Outlook).

• Competitive salary:
  Up to $58.00 per hour (depending on license and experience).
• 40 hours per week:
  Anywhere between 8:00 AM - 9:00 PM.
• Start date:
  
  As soon as possible.
• Long‑term contract to permanent.
• Fun and positive work environment.

If you are interested in being considered for the Clinical Pharmacist position, please click the “I’m Interested” button below to be qualified for this fast‑moving opportunity!