The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist-Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high-quality and cost-effective pharmacy benefit. The Pharmacist- Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degree Requires a currently active and unrestricted California Registered Pharmacist (RPh) license Requires at least 2 years of experience in clinical pharmacy Requires experience working at a health plan (managed care, government payer, or academic) 1 year of prior authorization experience required Experience working with formulary and medication policies required Excellent oral and written communication skills Thorough knowledge of therapeutic use of medications Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. #J-18808-Ljbffr
...0/50 breakdown of cross-sectional and plain films ~ ER and inpatient exams ~ Comfortable with stroke ~ Unlimited internal moonlighting in both inpatient and outpatient studies ~ Competitive compensation Base Salary: $605,000 package including full benefits with...
...Job Description Job Description Miscellaneous Steel Fabricator Location: Richmond, VA Job Type: Contract-to-Hire Shift: 1st... ...depending on experience Job Overview We are looking for a Metal Fabricator to build and assemble stairs, ladders, and other miscellaneous...
...Looking for Owner Operators who want consistent freight and strong weekly revenue. We work with box trucks, hot shots, and straight trucks and offer flexible run options. If... ...Runs Runs typically 200600 miles Local, regional, and long haul options Mostly...
...responsibilities include providing oversight for applications support including Incident, Problem,... ...customer expectations; Mentor assigned Analysts; Facilitates cross training of team... ...expectations. Maintains knowledge of Epic including Nova release notes, User Forum...
Job Description Job Description Full time, 5 days a week, 60+ hours, good salary & benefits. Duties include driving from Upper Bucks County starting at 6:00am to Philadelphia & performing various errands. Must have prior experience driving a van or mini bus (CDL License...