Remote Clinical Pharmacist - Pharmacy Clinical ProgramsLicense Requirement: Active Pennsylvania Pharmacist License Required
We are seeking an experienced Clinical Pharmacist to support the execution and optimization of pharmacy clinical programs within a highly regulated healthcare environment. This individual will play a critical role in advancing medication safety, improving health outcomes, ensuring formulary integrity, and driving clinically sound, cost-effective pharmacy strategies.
The ideal candidate combines strong clinical judgment with managed care experience and thrives in a collaborative, data-driven environment. This role partners cross-functionally with clinical, operational, and provider-facing teams to influence medication management initiatives and improve quality outcomes across member populations.
Key ResponsibilitiesClinical Pharmacy & Medication Management- Evaluate and recommend clinically appropriate, evidence-based, and cost-effective formulary decisions and drug placement strategies.
- Support ongoing formulary maintenance activities, including provider, member, and stakeholder communications.
- Conduct retrospective claims analysis to identify patient-specific and population-level medication safety and quality improvement opportunities.
- Deliver provider outreach to communicate actionable medication management recommendations.
Provider Engagement & Clinical Program Execution- Perform outbound engagement with providers to improve adherence to medication safety and quality initiatives.
- Document outreach activities in accordance with program and compliance requirements.
- Monitor provider participation, identify barriers to engagement, and summarize trends and feedback to support continuous improvement.
- Provide drug information research and clinical consultation as needed.
Collaboration, Compliance & Quality- Partner with cross-functional teams on strategic initiatives and clinical projects.
- Ensure compliance with regulatory requirements and internal clinical standards.
- Contribute to interdisciplinary efforts focused on improving care coordination and patient outcomes.
- Support initiatives that promote efficient, scalable, and high-quality pharmacy operations.
Required Qualifications- Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy
- Active Pennsylvania Pharmacist License
- Minimum 1-3 years of relevant clinical pharmacy experience
- 5+ years of pharmacy practice experience OR completion of an accredited Managed Care Residency
- Experience conducting Prior Authorization Reviews
- Strong knowledge of clinical pharmacology, disease management, and managed care principles
- Proficiency with Microsoft Office Suite (Word, Excel, Outlook)
Preferred Experience- Managed care or health plan experience
- Experience working within interdisciplinary and team-based care environments
- Demonstrated ability to influence provider behavior and improve medication outcomes
- Strong analytical, documentation, and communication skills
Ideal Candidate Profile- Self-directed and comfortable operating in a remote environment
- Highly organized with strong attention to detail
- Effective at balancing multiple priorities and managing time independently
- Collaborative mindset with the ability to engage providers and internal stakeholders to drive measurable outcomes
This is an outstanding opportunity for a clinically focused pharmacist to make a broad impact across medication quality, safety, and population health initiatives while working remotely.
#LI-JW1
#LI- Remote
