Description
Robert Half is seeking out candidates in with outstanding customer service skills for a Clinical Pharmacist position with one of its Fortune 500 healthcare clients, located in Durham, NC.
The Clinical Pharmacist will:
Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria
Report to utilization review statistics to corporate compliance committees
Review data and summarize daily utilization review numbers
Responsible for tracking compliance of review cases
Provide clinical guidance and support to the assigned pharmacy technicians
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 practices
Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
Requirements
In addition to the above-stated duties, the Clinical Pharmacist must hold the following skills:
Knowledge of drug coding NDC GCN GPI and USC and NCPDP claims adjudication systems
Bachelor's degree or advanced degree
3 years of experience in related field.
Current states pharmacy license.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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