Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Integrity Pharmacist- REMOTE
Job Description
Job Description Summary
Responsible for program alignment between the clinical team and other business units. Responsibilities include, but are not limited to, the maintenance of existing and development of new solutions to translate clinical content to other teams to meet business needs, triage IT requests, address analytic needs, maintain adequate documentation of processes, and provide clinical support.
Job Description
- Serves as a program alignment liaison between the clinical team and other business units such as Clinical Operation, IT, Quality, Compliance, etc.
- Responsible for maintaining and validating clinical team content and perpetuating that content in collaboration with other teams.
- Triages clinical requests for existing and prospective opportunities for review and prioritization
- Contribution and coordination of clinical team support efforts for solutioning, enhancement, and development efforts for existing as well as new program/product offerings or implementations
- Provides clinical support to enhance analytic efforts.
- Provides clinical support for pipeline and other cross-functional team needs.
- Responsible for documentation of processes and procedures
- Responsible for quality and consistency monitoring and improvement efforts in collaboration with other business units
- RFP support
- Project maintenance and special projects
- Clinical research and support including policies and algorithms.
- Participates in and supports clinical meetings (e.g., TAC, P&T)
- Client support, including but not limited to, responding to inquiries, education, QPI support, clinical meetings, audit assistance, special projects, etc.
- Rebate compliance support
- Adheres to organizational policies and procedures. Ensures compliance with Federal and State laws and standards of practice which govern the profession of pharmacy. Maintains pharmacy records in accordance with all applicable state and federal laws and regulations. Maintains clinical skills and knowledge of pharmacotherapy by reviewing the literature, continuing education and any company provided in-services. Completes all mandatory company provided on-line courses. Attends and completes all employee development courses.
- Performs other duties as required.
Required Qualifications
- Able to receive assignments in the form of high-level objectives and independently establish detailed goals to meet objectives.
- Strong interpersonal skills; excellent oral and written communication skills.
- Ability to function independently and as a team player.
- Good organizational and time management skills, with the ability to manage multiple tasks and be self-motivated.
- Proven ability to plan, organize, schedule, direct, control and monitor project activities.
- Well-developed interpersonal skills.
- Ability to interact at a high level with external contacts.
- Working knowledge of MS Office Suite
Location
Certification/Licensure:
- Registered Pharmacist required
- PharmD preferred
Preferred Qualifications:
- 5+ years of work experience
- Prior work experience in managed care or with a health plan
- Prior client-facing experience
- Prior experience with utilization management
- Strong MS Office skills, experience with databases and queries
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $108,000.00 - $184,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our
Benefits Page and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.