Pharmacist

Pride Health · New york, United States

Job title Pharmacist

Job location : New York, NY 10004

Shift: M- F 9 am - 5 pm - Hybrid

Local Pay: $85 - $90/hr

Length : 3 Months, Possible Extension

Skills & Experience:

Pharmacy dispensing system experience.

Sterile Processing experience.

IV room experience.

Knowledge of an EMR (Electronic Medical Records system) preferred.

Education:

• Doctor of Pharmacy required
• NYS License

Job Summary:

• Clinical pharmacy experience and utilization management experience in a managed care environment preferred
• Experience in Pharmacy management of government programs (Medicaid and Exchange) preferred
• Proficiency with MS Word, Excel, and PowerPoint is required. Experience in the evaluation and interpretation of pharmacy claims data and other clinical data is preferred
• Position requires excellent organizational, teamwork, interpersonal, time management, written and verbal communication skills
• Reviews Medical drug prior authorization and appeal requests for all LOBs then renders coverage determinations based on Facilty preferred drug strategies, available benefits, internal criteria and clinical judgement
• Assists in responding to internal/external inquiries related to prior authorization review including weekends and holidays
• Assists in identifying inappropriate utilization during claims and prior authorization review
• Performs audits as necessary of vendor or internal reviewed cases to ensure all clinical, organizational and operational standards have been met
• Completes medication reviews for Facilty members to ensure safe and efficacious therapy
• Assists in organizational and departmental quality improvement initiatives
• Responds to pharmacy benefit related inquiries
• Participates in Quarterly Pharmacy and Therapeutics (P&T) meetings
• Creates and reviews prior authorization criteria for medications as needed

Pride-Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity

Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment

Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations

We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.