Clinical Service Center Pharmacist

Remedi SeniorCare (a division of Clarest Health) is a leading pharmacy innovator dedicated to servicing long-term care facilities and senior living communities. Our mission is to provide exceptional person-centered care through advanced technology solutions and clinical expertise. As part of the Remedi team, you'll contribute to a mission-driven organization redefining the future of pharmacy services and making a meaningful impact on patients and healthcare professionals nationwide.

About the role

The Clinical Service Center Pharmacist collaborates with the Director, Clinical Service Center to execute day-to-day operational needs, including clinical review of rejected claims, recommending clinically appropriate covered alternative medications, and overseeing the processing of Automatic Therapeutic Interchange (ATI) recommendations. This role ensures adherence to company quality and customer service standards, policies, procedures, and state and federal guidelines in the LTC pharmacy to maintain quality production, workflow, and operational goals.

Location: 962 Dorset Rd, Troy, OH 45373. Remote work is available after training with occasional onsite work required. Must live within commutable distance to the office.

Responsibilities

• Oversee clinical claim reject activity and make appropriate, clinically comparable, formulary alternative recommendations.
• Review and approve clinical documentation associated with prior authorization submissions.
• Provide CSC Technicians with instructions for resolving rejected claims with insurance plans and internal/external customers.
• Collaborate with other LTC departments to achieve daily volume, quality, and service goals.
• Communicate with customers, insurance companies, and internal pharmacy staff to resolve rejected clinical claims effectively.
• Maintain organized records of CSC documentation related to ATI or claims management.
• Apply superior customer service skills when working with both internal and external customers.
• Work with CSC Technicians and the Director to meet department goals and objectives.
• Assist in developing, deploying, and managing department and customer-supported initiatives.
• Ensure adherence to safety practices and procedures.
• Enforce all company and departmental policies and procedures.
• Comply with all applicable state and federal regulations related to pharmacy practices.
• Participate in special projects to identify and implement operational improvements.
• Contribute to a positive work environment and overall team effort.
• Actively evaluate and improve LTC pharmacy services, policies, and procedures.
• Adhere to Clarest’s Code of Conduct and report any suspected violations of federal or state laws.
• Perform other duties as assigned or directed.

Requirements

• Doctor of Pharmacy (PharmD) required.
• Must be eligible for pharmacist licensure and actively working toward licensure in the state of Ohio.
• License must be in good standing (as applicable).
• Open to new graduates.

Skills

• Strong attention to detail and organizational skills.
• Clinical knowledge with ability to ensure regulatory compliance.
• Effective problem-solving and time management capabilities.
• Proficiency in technical systems and continuous learning mindset.
• Excellent communication and interpersonal skills for team collaboration.

Schedule

Monday, Wednesday, Thursday, Friday: 1:30 PM – 11:00 PM, plus every 8th weekend: 8:00 AM – 6:00 PM.

Training: 8 weeks of onsite training.

Pay

$110,000 - $115,000, depending on experience.

Benefits

• Comprehensive Medical, Dental, and Vision Insurance (as low as $13.33 per pay).
• Paid Time Off.
• Free Virtual Care – Telemedicine.
• 401k with company match.
• Closed-door pharmacy – no face-to-face meetings with customers.
• Referral Bonuses.
• Life Insurance.