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Clinical Pharmacist – Part-Time
Arkansas Blue Cross and Blue Shield. Reports to and operates under the direction of Pharmacy Leadership .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy practice, including drug utilization review and cost containment strategies, while providing leadership in pharmacy reimbursement and claims processing. Strong analytical and problem-solving skills are essential for interpreting policies and making informed decisions.
Highest-signal resume keywords
Pharmacy Practice ExperienceManaged Pharmacy CareDrug Utilization ReviewOral & Written CommunicationAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Drug Utilization ReviewPharmacy Cost Containment StrategiesPharmacy ReimbursementClaims ProcessingPrior Authorization ProgramData AnalysisMedical Criteria DraftingCritical ThinkingReport PreparationPresentation Skills
Soft Skills
LeadershipOrganizational SkillsProblem-SolvingDecision-MakingCollaboration
Certifications & Qualifications
Bachelor's Degree in PharmacyActive Pharmacy License
Industry Keywords
Managed CarePharmacy OperationsClinical KnowledgeEnterprise PharmacyPharmacy Vendor Selection
About the role
Key responsibilities & impact- Reports to and operates under the direction of Pharmacy Leadership
- Works cooperatively and sometimes independently with medical directors and enterprise personnel
- Assists in development of and supervises the drug utilization and prior authorization review program
- Contributes to and supports Enterprise-wide undertakings and commitments
- Develops and manages pharmacy cost containment strategies
- Develops and implements pharmacy cost containment strategies tailored to the enterprise, specific regions, and large accounts
- Drafts medical criteria and supports the enterprise prior authorization program
- Prepares and presents reports, data, and analyses on utilization and cost trends
- Provides leadership and advice on pharmacy reimbursement, claims processing policies and procedures, and pharmacy vendor selection
- Serves as a corporate pharmacy resource to medical management, operations, and sales staffs
- Serves as a liaison to pharmacists, professional pharmacy organizations, internal committees, case management, medical management, and other providers
- Uses clinical knowledge and independent critical thinking to interpret criteria, policies, and procedures and make determinations on prior approval and retrospective reviews
- Works with clinical and operations staff of pharmacy program vendors to ensure satisfactory service for members and providers
Requirements
What you’ll need- Bachelor's degree in Pharmacy from an accredited college of pharmacy
- Holds an active and current, unrestricted license in pharmacy in the state(s) where job duties are performed required
- Minimum three (3) years' pharmacy practice experience
- Minimum three (3) years' experience in managed pharmacy care and drug utilization review preferred
- Oral & Written Communication
- Presentation
- Organizational
- Analytical
- Problem-Solving
- Decision-Making
- Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota
- This position may require up to or around 24 hours a week