Rational Drug Therapy Program Graduate Pharmacist - Pharmaceutical Systems and Policy

About The Opportunity

As a Pharmacy Graduate Intern at Rational Drug Therapy Program, you will be responsible for conducting clinical reviews of prior authorization requests, performing concurrent drug utilization review with program instructions, and providing general pharmacy information using the point-of-sale computer system established by the West Virginia Bureau of Medical Services (WVBMS) and the current point-of-sale computer system utilized by the PEIA program.

Through this role, you will assist in carrying out Rational Drug Therapy Program’s mission to ensure WV Medicaid, WV PEIA, and CHIP members receive safe, rational, cost effective, and patient outcome-oriented drug therapy.

Benefits

• A 37.5-hour work week
• 13 paid holidays (staff holiday calendar)
• 24 annual leave (vacation) days per year (employee leave)
• 18 sick days per year (for when you’re ill, for when you need time to care for sick family, for your own, or your family’s, regularly scheduled medical appointments. Who is family for the purpose of this leave? A lot of people in your life including immediate relatives and in-laws as well as others considered to be members of your household living under the same roof)
• WVU offers a range of health insurance and other benefits
• 401(a) retirement savings with 6% employee contribution match, eligibility to continue health insurance, and other retiree perks.

Looking for more retirement benefits information?

Check out retirement health insurance benefits, retirement income, and FAQ’s.

Wellness programs

What You'll Do

• Provide professional services to the WVBMS which include but are not limited to:
• Supervised prior authorization clinical reviews
• Evaluations of appropriateness of therapeutic duplications
• Recommendations of appropriate formulary alternatives
• Conduct supervised reviews of home infusion therapy requests
• Literature reviews applicable to prior authorization requests
• Clinically evaluate the appropriateness of various infectious disease drug therapy regimens
• Evaluate the clinical appropriateness of drug therapy approval with newly marketed medications as allowed by the program
• Review claims for accuracy of billing
• Review individual prior authorization, drug utilization review, and billing inquiries and use clinical decision-making skills and therapeutic judgment to determine if claim payment can be approved.
• Acquire and maintain clinical knowledge and information on various disease states in which the program is involved via current, evidenced-based recommendations
• Review inquiries from technical employees of the program and ascertain the clinical appropriateness of the outcome in comparison to the drug utilization evaluation against which the inquiry is being presented.
• Respond to inquiries in a friendly, professional manner.
• Aid in the orientation and training of all new professional and non-professional personnel.
• Weekend staffing of the program as needed.

Requirements

• Eligible for Licensure/Registration in WV and willing to complete all required testing to attain Licensure.

About WVU

West Virginia University is a place of purpose and community. We take pride in our profound impact on the state of West Virginia and are committed to the personal and professional growth of our employees. From the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures.

At WVU, you will discover a supportive community that champions work-life balance and fosters a collaborative atmosphere. Our core values — service, curiosity, respect, accountability and appreciation — unite us as Mountaineers. Join us at West Virginia University, where your work will make a lasting impact.

Job Posting

Jun 30, 2026

Posting Classification: Non-Classified

Exemption Status: Exempt

Benefits Eligible: Yes

Schedule: Full-time