Clinical Pharmacist I - Remote Job at MRI, Miami, FL

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  • MRI
  • Miami, FL

Job Description

Job Description

Job Description

***FULLY REMOTE OPPORTUNTY***

MUST HAVES:

  • CURRENT STATES PHARMACIST LICENSURE ACTIVE WITH NO RESTRICTIONS
  • Bachelor’s Degree or Advanced Degree (Pharm.D., M.S.) in Pharmacy  
  • Availability to work a schedule of 10am - 6:30pm EST Mon-Fri (w/Possible Overtime)

Job Overview: This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business. Your position's main purpose is to define and develop standard and custom formulas for assigned plans. A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determinations.

  • Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated

  • Monitor prior authorization requests

  • Provide clinical support to internal departments and address clinical related questions

  • Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice

  • Develop and implement programs designed to impact DUR for both Medicaid and Medicare

  • Develop, implement, and maintain policies and procedures for the pharmacy department

  • Participate in the coordination of the Medicare MTM program

  • Assist case management team with members including clinical rounds presentations

 

Necessary Experience Needed:

  • 1 - 3 years of experience as a pharmacist
  • Clinical decision-making skills
  • Adaptability
  • Computer Savy

 

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

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