Top 7 Utilization management pharmacist Jobs in Camden, Sc

Part Time - Pharmacist - Contract 1099
Pharmacy Synergistics Inc —Camden, SC
- $52 an hour
- Full-time
- Mid-level
- Bachelor's degree
- 2 years
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1d
Utilization Management Pharmacist
BlueCross BlueShield of South Carolina —Columbia, SC
- 8 hour shift
- Hybrid work
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Pharmacist - Per Diem
Ernest Health —Elgin, SC
- Per diem
- Hospital
- Word processing
- Computer literacy
Grad Pharmacist
CVS Health —Sumter, SC
- $19.75 - $42.00 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Patient monitoring
- Dental insurance
- Vision insurance

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Outpatient Retail Pharmacist
ilocatum —Gratiot, OH
Active pharmacist license in the State of Ohio. The role includes reviewing patient drug utilization, therapeutic duplication, disease state, drug interactions,…
$54.85 - $75.00 an hour
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11d
Pharmacist - Springfield Regional Medical Center
Mercy Health —Springfield, OH
Maintains current license for pharmacist in the state(s) where practicing (required). Experience in field of pharmacy practice (required).

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Part Time - Pharmacist - Contract 1099

Pharmacy Synergistics Inc
Camden, SC

Quick Apply

Job Details

Full-time
$52 an hour
1 day ago

Qualifications

Registered Pharmacist (RPh)
Managed care organization experience
Licensed Pharmacist (State-Specific)
Licensed Pharmacist

Full Job Description

Responsibilities:

Support clinical pharmacy operations across Medicare populations, providing expertise in medication management, prior authorization, utilization management, and member care.
Utilize proprietary dashboard to track personal key performance metrics.
Complete pharmacy referrals using PBM claims databases to obtain comprehensive medication histories and evaluate appropriate dosing, drug interactions, adherence, and opportunities for clinical intervention.
Specialize in referrals involving STARS medications, identifying opportunities to improve safety, adherence, outcomes, and affordability.
Conduct outreach to members regarding medication-related questions, affordability concerns, pharmacy issues, and potential non-adherence.
Collaborate with providers to address drug interactions, medication regimen optimization, and gaps in care.
Serve as a primary point of contact for pharmacy-related questions, claim rejection issues, affordability concerns, and medication access barriers.
Research prior authorization denials and provide case managers and members with guidance regarding appeal opportunities, documentation requirements, and next steps.
Coordinate with providers, PBMs, pharmacies, and members to facilitate prior authorization completion, claim overrides, medication access, and resolution of pharmacy-related issues.
Maintain established productivity, quality, compliance, and service-level standards across pharmacy operations.
Manage complex member escalations and grievances, ensuring timely resolution and appropriate clinical follow-up.
Counsel members on medications, including appropriate use, adherence, safety considerations, and potential medication-related concerns.
Perform Comprehensive Medication Reviews (CMRs) and identify opportunities for medication optimization, adherence improvement, and cost savings.

Work Experience:

Managed Care, Insurance, PBM experience required
Pharmacist experience: 2 years

Education and Skills:

Bachelor’s degree in Pharmacy
Proficient in Microsoft Office Suite
Excellent communication skills
In-depth knowledge of pharmacy benefits management
Attention to work-related details
Excellent problem solver and team leader

License/Certification: Registered Pharmacist

Equal Opportunity Employer: We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

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utilization management pharmacist jobs in camden, sc

Part Time - Pharmacist - Contract 1099

Utilization Management Pharmacist

Pharmacist - Per Diem

Grad Pharmacist

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