Position Summary: Join a mission-driven team where your leadership directly enhances patient care. In this role, you'll oversee a group of clinical pharmacists, support key clinical programs, and stay engaged in hands-on clinical work like prior authorizations and provider outreach. You'll also play a vital role in mentoring staff, optimizing workflows, and collaborating across teams. This is a great opportunity for pharmacists looking to grow their careers while making a meaningful impact-all in a fully remote, high-performing, and collaborative environment.
Position Responsibilities: - Responsible for the supervision of a group of clinical pharmacists handling phone escalations from members, prescribers, and pharmacists, prior authorization reviews, and clinical programs outreach.
- Participate in the goal setting process and regularly review performance of direct reports, providing coaching when needed.
- Support on-going training of current staff and onboarding new clinical pharmacists, including developing and maintaining job aids and/or policies and procedures.
- Work in conjunction with other leadership in analyzing available data and provide staffing, workflow and system enhancement recommendations.
- Identify and apply career development opportunities for employees.
- Perform day to day clinical pharmacy functions including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education or peer-to-peer calls.
- Meet or exceed performance metrics while maintaining quality and providing superior customer service to all stakeholders.
- Provide support for clinical programs as needed, including triaging incoming clinical calls and conducting outreach calls to prescribers, pharmacies, and members.
- Provide on call support as needed for after-hours pharmacist/clinical programs/emergent calls on rotating schedule that includes nights, weekends and holidays.
- Work collaboratively with internal business and clinical partners to support initiatives including clinical interventions, clinical programs, data and claims review, and on-boarding of new clients, as required.
- Support Manager, Utilization Management with additional duties as assigned.
Required Qualifications: - Active, unrestricted pharmacist license
- Bachelor's or Doctor of Pharmacy Degree with 2+ years of pharmacy practice experience
- Experience in customer service, call center and prior authorization required
- Excellent communication, writing, and organizational skills
- Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven call center environment
- Self-motivated and detail-oriented problem solver
- Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team
- Have a designated workspace (an office, spare bedroom, etc) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations
- Have the following internet connectivity: DSL, cable modem or fiber with a wired connection to device (wi-fi not allowed). Internet speed of one gigabyte (940bps) is required
- Working knowledge of MS Office
- 2+ years of experience as a clinical pharmacist in a Pharmacy Benefit Management (PBM) setting.
New York, NY Salary Range
$128,000-$160,000 USD
Denver, CO Salary Range
$117,600-$147,000 USD
Charlotte, NC Salary Range
$106,800-$133,500 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
