Job Description

The Medicaid Clinical Pharmacist manages and conducts clinical and operational pharmacy processes for the Health Choice beneficiaries by maintaining of the plan formulary, participating in the P&T Committee, managing drug use criteria and protocols, reviewing requests for prescription drug services (PAs) and complex member cases, participating in efforts to improve performance measures, working closely with the designated PBM to ensure pharmacy benefit is compliant with government regulations and requirements and working with STATE and State Medicaid plan Pharmacy Directors on appropriate medication provision to beneficiaries. The Medicaid Clinical Pharmacist also educates appropriate Health Choice staff on specific clinical and operational Medicaid benefit pharmacy topics, and documentation and assists the Health Choice Pharmacy Management team and/or VP of Pharmacy Services or designee.

 

 

Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled



Qualifications

Qualifications:

Pharmacy degree from an accredited College of Pharmacy, PharmD preferred

At least five (5) years of practice experience with a health plan pharmacy services, managed care environment, and / or retail or hospital pharmacy service

At least two (2) years of practice experience in developing and applying clinical drug use criteria

Proficient in the principles and practices of managed care pharmacy

Broad-based knowledge in a variety of pharmacy disciplines

Knowledge of Medicare and Medicaid regulations and guidelines regarding coverage determinations

Knowledge of peer-reviewed literature for production of PA Criteria Guidelines

Knowledge of drug options for the appropriate clinical management of member medical conditions

Arizona state Pharmacist license in good standing

Current Arizona driver's license, reliable transportation, and current insurance coverage required

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online