Clinical Pharmacist

About the Company

OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology-enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.

About the Role

The Clinical Pharmacist is responsible for facilitating the case review process for prior authorizations, building and maintaining protocols, and providing recommendations on coverage determination. This position requires the ability to analyze evidence-based medicine resources, as well as those for coverage determination, to evaluate whether therapy requested for prior authorization is supported for coverage and is best suited for the given situation. It will also support the operations of new products and services.

This is a remote opportunity with a designated work schedule of 12:30 PM - 8:30 PM Eastern Standard Time (EST).

Responsibilities

• Case review and serve as initial clinical reviewer or provide secondary input for authorization process
• Synthesize treatment opinions supported by evidence-based medicine
• Maintain accurate records of all interventions and communications and provide timely verbal/written assessments on each case reviewed
• Department project participation as determined by the department’s needs, including:
  • Training for new hires, students, or other departments
  • Aid in drug-related projects such as clinical information updates, position papers, drug strategies, and/or process improvements
  • Act as a resource for other clinicians

Requirements

• Doctorate in Pharmacy (PharmD) or relevant experience required
• Current unrestricted licensure recognized in the United States
• Minimum of 2 years of experience in the clinical oncology setting, managed care, or relevant educational attainment required
• Must be proficient in evaluating oncology drug treatment decisions by interpreting primary scientific literature and recommending alternative therapy where appropriate

Skills

• Proficient in MS Office Suite

Location

OncoHealth is committed to remote, hybrid, or in-office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide.

Schedule

12:30 PM - 8:30 PM Eastern Standard Time (EST).

Benefits

• Full benefit package available on your first day
• Company bonus
• Option to visit or work from modern and engaging offices
• Fun, collaborative environment with social activities and community events

About the Opportunity

The cost of cancer-related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. With just under 250 team members, we can move swiftly but precisely to meet the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode.

Current Solutions

• OneUM: OncoHealth's utilization management system allows customers to use a single e-Prior Authorization portal for all oncology drug requests and treatments. Our system improves quality of care, reduces provider abrasion, and gives health plans visibility into the total cost of oncology treatment.
• Oncology Insights Pro: An analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real-world data, our engineers normalize data to create analytic dashboards with drill-down capabilities. The data is paired with expert guidance to provide strategies and insights needed to keep up with the evolving cancer treatment landscape.
• Pharmacy Consulting: Services offered to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications, including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and develop training for staff.
• Iris: A digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24/7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized telehealth support.

Culture

Taking ownership of quick action, critically thinking through needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, and innovation—all with a focused mission of putting patients first. OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members.