Top 44 Pharmacist managed care Jobs in Florida

Clinical Review Pharmacist (US-based Remote Contractor)
Chen Medical Associates —Miami, FL
- $118,062 - $168,658 a year
- Weekends as needed
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Up to 50% travel
- Opportunities for advancement
Ambulatory Pharmacist
Chen Medical Associates —Lauderhill, FL
- $118,062 - $168,658 a year
- Weekends as needed
- Up to 50% travel
- Patient monitoring
- English
- Opportunities for advancement
Pharmacist - Clinical Advisor
CVS Health —Florida
- $110,925 - $249,600 a year
- Full-time
- Microsoft Excel
- Bachelor of Science
- Writing skills
- Health insurance
- Dental insurance
13d
Senior Specialty Consultative Pharmacist
Centerwell —Florida
- $115,200 - $158,400 a year
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Travel
- Paid parental leave
- Paid holidays
Specialty Operations Pharmacist
Centerwell —Florida
- $115,200 - $158,400 a year
- Overtime
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
3d
Director of Value-Based Care Pharmacy
TGH Senior Center Powered by Greenbrook Medical —Tampa, FL
- $170,000 - $180,000 a year
- Online Application
- Outpatient experience
- Clinic
- Mentoring
- Health insurance
- Dental insurance
Director of Pharmacy
Option Care Health —Tampa, FL
- $129,386.61 - $215,629.34 a year
- Full-time
- Microsoft Word
- Patient monitoring
- 3 years
- Health savings account
- Health insurance
Regional Manager, Ambulatory Pharmacist
Chen Medical Associates —Miami, FL
- $128,686 - $183,837 a year
- Weekends as needed
- Up to 50% travel
- English
- Outpatient experience
- Opportunities for advancement
Director of Value-Based Care Pharmacy
Greenbrook Medical —Tampa, FL
- $170,000 - $180,000 a year
- Online Application
- Outpatient experience
- Clinic
- Mentoring
- Health insurance
- Dental insurance
Clinical Pharmacist
BayCare —Clearwater, FL
- Full-time
- Background check
- Hospital
- Customer service
- Health insurance
- Dental insurance
Specialty Pharmacy Supervisor
RxPlus —Apopka, FL
- $53.23 - $99.00 an hour
- Full-time
- Background check
- CPR Certification
- Bachelor of Science
- Paid parental leave
- Disability insurance
Director of Pharmacy
Option Care Enterprises, Inc. —Tampa, FL
- $129,386.61 - $215,629.34 a year
- Full-time
- Microsoft Word
- Patient monitoring
- 3 years
- Health savings account
- Health insurance
Quick Apply
Clinical Pharmacist - Hematology/Oncology
BayCare —Tampa, FL
- Full-time
- Background check
- Hospital
- Customer service
- Health insurance
- Dental insurance
12d
Clinical Pharmacist - Infectious Diseases
AdventHealth Tampa —Tampa, FL
- $50.49 - $93.91 an hour
- Full-time
- Background check
- Hospital
- Mid-level
- Paid parental leave
- Disability insurance
Clinical Pharmacist - Sterile Compounding
BayCare —Tampa, FL
- Full-time
- Background check
- Hospital
- Customer service
- Health insurance
- Dental insurance
Pharmacy Benefits Coordinator
Independent Living Systems —Miami, FL
- Full-time
- Mid-level
- Bachelor's degree
- Business
Quick Apply
Pharmacy Operations Supervisor
BayCare —Tampa, FL
- Full-time
- Background check
- Management
- Customer service
- Health insurance
- Dental insurance
Clinical Pharmacist - Pediatrics
BayCare —Tampa, FL
- Full-time
- Background check
- Hospital
- Customer service
- Health insurance
- Dental insurance
Pharmacy Processing Technician II
RxPlus —Apopka, FL
- $19.23 - $30.77 an hour
- Full-time
- Background check
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Disability insurance
3d
Certified Specialty Pharmacy Technician III
RxPlus —Apopka, FL
- $20.38 - $32.60 an hour
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
7d

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pharmacist managed care jobs near florida

Clinical Review Pharmacist (US-based Remote Contractor)

Chen Medical Associates -
Miami, FL

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Job Details

Full-time | Contract
$118,062 - $168,658 a year

Benefits

Opportunities for advancement

Qualifications

Registered Pharmacist (RPh)
Customer communication
Licensed Pharmacist (State-Specific)
Doctor of Pharmacy
Licensed Pharmacist

Full Job Description

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Clinical Review Pharmacist works to ensure that ChenMed members have access to all medically necessary prescription drugs, and those drugs are used in a cost-effective, safe manner. The incumbent completes prior authorizations for internal expert peer discussions (EPD) on high-cost medications to control appropriate medication use, following guidelines created by the organization. Additionally, they are involved in formulary management (such as reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics regarding patient outcomes, medications safety and medication use policies).

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

Reviews coverage determinations and appeals in a timely, compliant, and accurate manner.
Ensures compliance with the coverage determination and appeals process.
Acts as a liaison between ChenMed and its patients with respect to the clinical guidelines we practice.
Serves as the formulary expert for the therapeutic class they are reviewing.
Contributes to projects aimed at improving STAR ratings, HEDIS, CAHPS, and other quality metrics.
Assists with clinical questions and phone calls from prescribers, pharmacies and/or ChenMed members.
Develops, implements and maintains pharmacy cost control and quality initiatives under the direction of leadership and guidelines.
Monitors drug utilization and assists Pharmacy leadership team in understanding quality and cost control issues.
Acts as a liaison between ChenMed and its members with respect to the pharmacy benefits.
Works with providers to ensure accurate coverage determination decisions.
Performs outreach to patients and providers as part of quality and/or cost control initiatives.
Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

Excellent analytical and deductive reasoning skills; detail oriented
Good judgement and problem-solving skills
Knowledge of and experience with state and federal insurance programs
Familiarity with appropriate local, state, and federal pharmacy laws and regulations
Ability to work effectively independently and as part of a team
Ability to communicate effectively with staff, management, executives and patients/members
Strong organization and time management skills and multi-tasking abilities
Written and verbal fluency in English; bilingual preferred
Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint
Willingness to travel locally up to 50% of the time; flexible to work evening, weekends and/or holidays as needed
This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

Doctorate of Pharmacy (PharmD) required
Must have a License that is in good standing
Minimum one (1) year of pharmacy experience
Minimum one (1) year of utilization review experience preferred
Pharmacy residency training is preferred, but not required
Experience in a managed care setting (HMO, MSO, PBM) is a plus
Medicare Part D or Medicaid experience, along with managed care experience

PAY RANGE:

$118,062 - $168,658 Salary

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

#LI-Hybrid

Apply Now

Refine Your Search

pharmacist managed care jobs in florida

Clinical Review Pharmacist (US-based Remote Contractor)

Ambulatory Pharmacist

Pharmacist - Clinical Advisor

Senior Specialty Consultative Pharmacist

Specialty Operations Pharmacist

Director of Value-Based Care Pharmacy

Director of Pharmacy

Regional Manager, Ambulatory Pharmacist

Director of Value-Based Care Pharmacy

Clinical Pharmacist

Specialty Pharmacy Supervisor

Director of Pharmacy

Clinical Pharmacist - Hematology/Oncology

Clinical Pharmacist - Infectious Diseases

Clinical Pharmacist - Sterile Compounding

Pharmacy Benefits Coordinator

Pharmacy Operations Supervisor

Clinical Pharmacist - Pediatrics

Pharmacy Processing Technician II

Certified Specialty Pharmacy Technician III

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EDUCATION AND EXPERIENCE CRITERIA:

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