Blue Cross & Blue Shield of Mississippi ยท 2 months ago
Clinical Pharmacist
Blue Cross & Blue Shield of Mississippi is dedicated to promoting health and wellness in a challenging environment. The Clinical Pharmacist role involves providing clinical support for pharmacy management programs and collaborating with management to analyze data for prescription drug program design.
Health InsuranceInsuranceNon Profit
Responsibilities
Provides clinical support for a wide range of pharmacy management programs designed to encourage appropriate utilization of the BCBSMS pharmacy and medical benefits
Collaborates with the Manager, Clinical Pharmacy to obtain and analyze available internal data and external prescription drug data to formulate recommendations for prescription drug program benefit design
Is accountable for the day-to-day review of drug database information for pharmacy benefits administration
Handles initial drug prior authorization requests, drug re-authorizations requests, and drug appeals
Qualification
Required
A current Mississippi pharmacist license (or intent to get same)
Proven clinical pharmacy knowledge
Excellent oral and written communication skills
Excellent presentation skills
Proven analytical skills
Proven knowledge of Word and Excel
Proven project management and problem solving skills
Understands basic economic principals and can apply them to the pharmacy management setting
Preferred
A Doctor of Pharmacy (PharmD) degree and a residency
Knowledge of Access, Showcase and other software tools
Previous managed care or pharmacy benefits management experience
Benefits
Comprehensive benefits package that is worth approximately one-third of the salary compensation
Our benefits program is among the best in the health care field.
Company
Blue Cross & Blue Shield of Mississippi
Blue Cross & Blue Shield of Mississippi is a mutual insurance company that provides health insurance services.