Seeking a Pharmacist Reviewer with an active US Pharmacist license and strong clinical pharmacy experience. The ideal candidate will have 5+ years of pharmacist experience, including 3+ years in a hospital setting, along with expertise in managed care, clinical authorization, claims review, and clinical coding.
Key Requirements:
- Active and unrestricted US Pharmacist license
- 5+ years of pharmacist experience
- 3+ years of hospital pharmacy experience
- Experience with managed care, prior authorization, and claims review
- Knowledge of clinical coding and medication management
- Experience researching drugs and reviewing formulary/non-formulary exceptions
- Strong analytical, communication, and IT skills
- Ability to work effectively in multiple healthcare systems
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