Top 37 Clinical pharmacist Jobs in Washington Pa

Clinical Pharmacy Specialist (Remote)- Prior Authorization Team!
UPMC —Pittsburgh, PA
- $54.68 - $81.63 an hour
- Full-time
- Word processing
- Computer literacy
- Bachelor of Science
10d
Senior Clinical Pharmacy Specialist (Remote)- Must be licensed in PA!
UPMC —Pittsburgh, PA
- $51.48 - $87.36 an hour
- Full-time
- Word processing
- Computer literacy
- Bachelor of Science
Pharmacist - BONUS ELIGIBLE #8487
St. Clair Hospital —Pittsburgh, PA
- Full-time
- Management
- Hospital
- Mid-level
Clinical Staff Pharmacist
Zeal Specialty Pharmacy —Pittsburgh, PA
- Full-time
- Bachelor of Science
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Pharmacist, Entry Level - Closed Door| Onsite-Pittsburgh, PA (Robinson Township)
Blink Health —Pittsburgh, PA
- Full-time
- Spanish
- English
- Data entry
Quick Apply
7d
Director, Investigational Drug Section
START Center for Cancer Research —Pittsburgh, PA
- Microsoft Excel
- Quality control
- Travel
- Disability insurance
- Health insurance
Quick Apply
Clinical Pharmacist - ASHP Residency required
Trauma Medical Center —Pennsylvania
- $80 - $110,000 an hour
- Full-time
- Acute care
- Inpatient
- Travel
- Loan repayment program
- Relocation assistance
Quick Apply
Clinical Pharmacist (590055)
Pantherx Specialty LLC —Coraopolis, PA
- Full-time
- Hybrid work
- Mid-level
- Reliable transportation
- Ability to stand for extended periods
- Paid holidays
- Disability insurance
Quick Apply
5d
Pharmacist
ConnectiveRx —Pittsburgh, PA
- $80,500 - $122,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Management
- Disability insurance
- Health insurance
12d
Pharmacist
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Hospital
- Computer literacy
- Mid-level
Pharmacist
UPMC —Pittsburgh, PA
- $52.26 - $81.63 an hour
- Part-time
- Hospital
- Bachelor of Science
- Mid-level
Clinical Pharmacist - UPMC McKeesport
UPMC —McKeesport, PA
- $53.64 - $85.30 an hour
- Weekends as needed
- Patient monitoring
- Hospital
- Bachelor of Science
Staff Pharmacist (FT)
WMCH Weirton Medical Center —Weirton, WV
- Full-time
- Hospital
- Computer literacy
- Mid-level
Pharmacist, Community Pharmacy (Float)
UPMC —Pittsburgh, PA
- $52.26 - $81.63 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Outpatient experience
Pharmacist, Chartwell
UPMC —Oakdale, PA
- $52.26 - $81.63 an hour
- Full-time
- Hospital
- Bachelor of Science
- Mid-level
Pharmacist - Flex Full-Time
UPMC —Pittsburgh, PA
- $52.26 - $81.63 an hour
- Full-time
- Customer service
- Bachelor of Science
- Mid-level
- Opportunities for advancement
Pharmacy Specialist Medical Oncology
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Management
- Patient monitoring
- Outpatient experience
Pharmacist
Allegheny Health Network —Pittsburgh, PA
- Full-time
- Hospital
- Mid-level
- Bachelor's degree
12h
Pharmacist - UPMC Presbyterian
UPMC —Pittsburgh, PA
- $52.26 - $81.63 an hour
- Full-time
- Customer service
- Bachelor of Science
- Mid-level
- Opportunities for advancement
Pharmacist, Rx Partners - Kane (Casual)
UPMC —Pittsburgh, PA
- $52.26 - $81.63 an hour
- 8 hour shift
- Bachelor of Science
- Mid-level
- Outpatient experience
7d

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clinical pharmacist jobs near washington pa

Clinical Pharmacy Specialist (Remote)- Prior Authorization Team!

UPMC -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$54.68 - $81.63 an hour
10 days ago

Qualifications

Customer communication
Practicing as a pharmacist
Computer literacy
Research

Full Job Description

UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. This is a work-from-home position. This is a daylight position working between the hours of 8:00 a.m. - 5:00 p.m. EST. Must be licensed in PA.

Registration as a registered pharmacist (RPh), in the Commonwealth of Pennsylvania or eligibility for licensure by examination or reciprocity is required.

The Clinical Pharmacy Specialist provides clinical pharmacy expertise to the development, implementation, and management of the pharmacy benefit. The clinical pharmacist assists in the management of pharmacy utilization and provides expertise in managing member care through the prior authorization and appeals process for medications. These services will be provided in compliance with state and federal regulations including NCQA and CMS standards while upholding the mission, policies and procedures of UPMC Health Plan and Pharmacy Department. Individual candidates should demonstrate professionalism and commitment to meet UPMC HP goals and objectives.

Must be legally authorized to work in the United States, without requiring, now or in the future, sponsorship for employment visa status. UPMC does not participate in STEM OPT.

Responsibilities:

The Prior Authorization Pharmacist primary responsibilities include:

Perform the clinical review of Prior Authorization, Step Therapy, Quantity Limit, and all other pharmacy utilization management requests in accordance with quality, timeliness, and efficiency standards.
Critically review pharmacy utilization management requests for approval/denial against standard clinical criteria and regulatory approved policies.
Participate in a clinical call queue to receive inquiries from internal and external stakeholders pertaining to the exception process while answering in a timely, accurate and professional manner.
Participate in the pharmacy appeals process through the review of denied cases as well as serving as committee representation at fair hearings.
Participate in and contribute to other operational initiatives on an as needed basis.

Additional responsibilities and attributes include:

Foster and maintain collaborative relationships with internal and external customers.
Perform job duties independently, reliably, efficiently, accurately, and professionally while supporting a virtual team concept.
Demonstrate keen drug information skills to adequately research drugs and disease states pertaining to complex utilization management reviews or other ancillary responsibilities.
Utilize a home office set-up that honors client and patient confidentiality.
Maintain a foundational understanding of the requirements of the Pennsylvania Department of Human Services (DHS), Centers for Medicare & Medicaid Services (CMS), Pennsylvania Insurance Department (PID), and the National Committee for Quality Assurance (NCQA), as they relate to the compliance and regulatory requirements of clinical operational functions.
Participate in meetings, committees, and work groups as assigned.
Mentor students, residents, and other pharmacists (If applicable).

Bachelor of Science Degree in Pharmacy, and/or Doctor of Pharmacy Degree (Pharm.D.) from an accredited U.S. School of Pharmacy.
Experience in pharmacy benefit management, insurance, managed care preferred and be knowledgeable in therapeutic interventions and other cost containment programs.
Effective communication skills, both written and oral.
Must have strong analytical ability and organizational skills.
Computer literacy for pharmacy programming, word processing, data management.
Assessment of job related skills and competency will be reviewed annually via daily functioning, job-related documentation, department based competency programs, and continuing education activities.

Preferred Experience:
Experience with claims adjudication, therapeutic substitution interventions, dose optimization and other cost containment programs is preferred. Experience in pharmacy benefit management, insurance, managed care such as completion of a managed care residency or 1-3 years managed care experience is preferred but not required.

Licensure, Certifications, and Clearances:
Registration as a registered pharmacist (RPh), in the Commonwealth of Pennsylvania or eligibility for licensure by examination or reciprocity.Continuing Education requirements met each bi-annual cycle for re-licensure, as evident by obtaining a minimum of 30 hours of continuing education every 2 years in structured pharmaceutical education as necessary by the state board.

Pharmacist
Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Apply Now

Refine Your Search

clinical pharmacist jobs in washington pa

Clinical Pharmacy Specialist (Remote)- Prior Authorization Team!

Senior Clinical Pharmacy Specialist (Remote)- Must be licensed in PA!

Pharmacist - BONUS ELIGIBLE #8487

Clinical Staff Pharmacist

Pharmacist, Entry Level - Closed Door| Onsite-Pittsburgh, PA (Robinson Township)

Director, Investigational Drug Section

Clinical Pharmacist - ASHP Residency required

Clinical Pharmacist (590055)

Pharmacist

Pharmacist

Pharmacist

Clinical Pharmacist - UPMC McKeesport

Staff Pharmacist (FT)

Pharmacist, Community Pharmacy (Float)

Pharmacist, Chartwell

Pharmacist - Flex Full-Time

Pharmacy Specialist Medical Oncology

Pharmacist

Pharmacist - UPMC Presbyterian

Pharmacist, Rx Partners - Kane (Casual)

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