Clinical Pharmacist

Blue Cross and Blue Shield of Mississippi

$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Current Mississippi pharmacist license (or intent to obtain) required.
  • Doctor of Pharmacy (PharmD) degree and residency preferred.
  • Proven clinical pharmacy knowledge essential.
  • Strong oral and written communication skills needed.
  • Excellent presentation abilities are important.
  • Demonstrated analytical skills required.
  • Knowledge of Word and Excel is necessary.
  • Familiarity with Access, Showcase, and other software tools preferred.
  • Previous managed care or pharmacy benefits management experience beneficial.
  • Strong project management and problem-solving skills essential.
  • Understanding of basic economic principles related to pharmacy management.

Responsibilities

  • Provide clinical support for pharmacy management programs.
  • Collaborate with the Manager, Clinical Pharmacy for data analysis.
  • Formulate recommendations for prescription drug benefits design.
  • Review pharmacy benefit drug database information daily.
  • Manage initial drug prior authorization requests and appeals.
  • Support drug re-authorization requests as needed.
  • Enhance the utilization of BCBSMS pharmacy and medical benefits.

Benefits

  • Comprehensive benefits package valued at approximately one-third of salary.
  • Benefits program considered one of the best in health care.
  • Opportunity to impact customer service through expertise.
Full Job Description

The Clinical Pharmacist provides clinical support for a wide range of pharmacy management programs designed to encourage appropriate utilization of the BCBSMS pharmacy and medical benefits in collaboration with the Manager, Clinical Pharmacy and Medical Director. The Clinical Pharmacist collaborates with the Manager, Clinical Pharmacy to obtain and analyze available internal data and external prescription drug data to formulate recommendations for prescription drug program benefit design. The incumbent is accountable for the day-to-day review of drug database information for pharmacy benefits administration, initial drug prior authorization requests, drug re-authorizations requests, and drug appeals.

Job-Specific Requirements:

  • A current Mississippi pharmacist license (or intent to get same) is required.
  • A Doctor of Pharmacy (PharmD) degree and a residency are preferred.
  • Proven clinical pharmacy knowledge is required.
  • Excellent oral and written communication skills are required.
  • Excellent presentation skills are required.
  • Proven analytical skills are required.
  • Proven knowledge of Word and Excel is required.
  • Knowledge of Access, Showcase and other software tools is preferred.
  • Previous managed care or pharmacy benefits management experience is preferred.
  • Proven project management and problem solving skills are required.
  • Understands basic economic principals and can apply them to the pharmacy management setting.

We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.

Similar Jobs

More Jobs at Blue Cross and Blue Shield of Mississippi

More Healthcare Jobs

Find similar Clinical Pharmacist jobs: