Jobs · Healthcare · Michigan

Clinical Pharmacist - Workers Comp/Auto

ProCare Rx · Southfield, MI · 1 mo ago
HealthcareFull-time

Principle Responsibilities

  • Provide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.
  • Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.
  • Ensure appropriate quality controls and initiate opportunities for performance improvement in pharmacy/practice.
  • Advise the Client Services/Sales team on pharmacy drug utilization review (DUR) issues.
  • Serve as Clinical Liaison with Client Services Implementation team.
  • Participate on quarterly Pharmacy & Therapeutics Review Committee.
  • Develop and/or implement clinical pharmacy programs in collaboration with client retention initiatives.
  • Cook up all efforts related Plan/Patient Assistance programs related to client management.
  • Maintain professional and technical knowledge by conducting research and by attending educational and technological workshops.
  • Provide supportive clinical/data information for Quoting/Analytics division.
  • Generate reporting on performance metrics related to client savings etc.
  • Avoid pharmacy claim audits as needed.

Requirements

  • Bachelor’s degree in pharmacy from an accredited college of pharmacy.
  • Advanced education in pharmacy (Pharm D) a plus.
  • Minimum five years’ experience in retail or hospital pharmacy.
  • Clinical pharmacy experience in managed healthcare preferred.
  • Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, pharmacies and plan members.
  • Proficient PC skills in Windows-based applications.
  • Highly organized with strong attention to detail and the ability to manage multiple priorities.
  • Ability to be flexible and quickly adapt to the changing needs in the department.

Physical Demands

  • Requires sitting, standing, and occasional light lifting.

Perks

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401 k with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People: Employee referral program.

Company Information

  • We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future.
  • All interviews are conducted in-person OR through video conference invitations from official company emails.
  • For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.
  • ProCare Rx is an Equal Opportunity Employer.

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