Shields Health Solutions · 2 months ago
Ambulatory Clinical Pharmacist
Shields Health Solutions is focused on advancing quality pharmacotherapy care, and they are seeking a Clinical Pharmacist to provide safe and effective drug therapy for oncology patients. The role involves collaborating with healthcare teams, managing medication therapy, and ensuring compliance with clinical guidelines and regulations.
BiopharmaHealth CareMedicalPharmaceutical
Responsibilities
Medication therapy management, including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy as indicated, documenting interventions
Have the ability to review patients' clinical chart information and determine the appropriateness of requested treatment
Monitor and review prior authorization requests for medications
Develop clinical criteria and medical policies for the review of medications
Ensure all clinical criteria is in regulatory compliance with Center of Medicare and Medicaid Services (CMS)
Ensure all clinical criteria is in clinical compliance with guidance from the Food and Drug Administration (FDA), clinical guidelines, and appropriate evidence-based literature
Manage, organize, and update relevant data using database applications
Apply observations and recommendations regarding operational issues, increased productivity, quality, and customer-service standards
Identify trends, resolve problems; recommend improvements; implement change
Actively participates in process improvement initiatives
Protects organization's value by keeping information confidential
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
I am willing to do whatever is necessary for the betterment of the Company
Other duties as assigned
Qualification
Required
Applicant must hold a Doctor of Pharmacy (PharmD) and be a licensed Pharmacist in state of employment
Required 1+ years' experience as a clinical pharmacist with completion of PGY1 residency
Ability to analyze information, exercise good judgment, possess strong verbal communication skills, have deep knowledge of pharmacology developments and FDA health regulations
Ability to manage processes, exhibit strong technical and clinical skills, maintain constant focus on legal compliance, while being highly productive with a focus on quality and details
Must be computer proficient (knowledge of the PioneerRx software system a plus)
Strong clinical knowledge of pharmaceuticals and disease states in order to conduct prior authorization reviews
Knowledge of specialty pharmaceuticals and billing practices in the medical and pharmacy benefits
Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator
Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data
Preferred
Completion of PGY2 residency specializing in oncology
Company
Shields Health Solutions
Shields Health Solutions is a specialty pharmacy accelerator that partners with hospitals to develop and manage specialty pharmacy programs.
Funding
Current Stage
Late StageTotal Funding
$3.5BKey Investors
Evernorth
2025-09-02Corporate Round· $3.5B
2025-09-02Acquired
Recent News
2025-10-03
Company data provided by crunchbase