PacificSource Health Plans · 3 weeks ago
Clinical Pharmacist - Temporary
Springfield, OR
Full-time
Onsite
Mid Level
3+ years expPacificSource Health Plans is seeking a Clinical Pharmacist to join their Pharmacy Services Department. The role involves making drug coverage determinations, developing policies, and ensuring compliance with regulations while serving as a resource for internal staff and external vendors.
CommunitiesCustomer ServiceNon Profit
Responsibilities
Provide drug coverage determinations for members with PacificSource Health Plans
Provide effective communication for members, providers, and internal staff through various platforms such as clinical calls, coverage determination letters, and email
Support clinical meetings with internal and external stake holders as requested
Review prescription formularies and criteria for needed updates based on clinical guidelines
Participate in P&T Committee meetings through review of new drugs, drug classes, and authorization policies with presentation of materials to staff members prior to meetings and to committee members during meetings
Lead and / or assist in projects as assigned
Stay up to date on State and Federal regulations as they relate to health insurance coverage
Stay up to date on quality measures pertinent to Pharmacy Services
Keep current with new and emerging clinical trends
Act as backup for other team members and departmental functions
Work with Clinical Pharmacy Manager and/or designee to improve processes, systems, reporting, and services provided by the department
Represent Pharmacy Services Department, both internally and externally, as requested
Meet department and company performance and attendance expectations
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information
Perform other duties as assigned
Qualification
Required
Required to be a registered pharmacist with either Pharm D degree or Bachelor of Science in Pharmacy
Ability to adapt and prioritize within a fast-paced environment
High attention to detail
Knowledge and comprehension of pharmaceutical services, including federal and state statutes and regulations as they pertain to the insurance-related pharmacy services and benefits administration
Ability to assess pharmaceutical alternatives, treatment plans, drug technologies and new approaches to delivering pharmacy services
Strong verbal and written communication skills
Proficiency in Microsoft Office Suite
Ability to work independently and within groups with minimal supervision
Three or more years of pharmacy related work-experience
Preferred
Post-graduate training (examples include Residency, Fellowship, MBA, BCPS)
Additional experience managing complex work processes and working as part of a multidisciplinary care team
Prior success in healthcare integration, process development and program implementation
Company
PacificSource Health Plans
Founded in 1933, PacificSource is a not-for-profit health insurer for people and organizations throughout the Northwest.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
John Espinola MD MBA
President and CEO
Erick Doolen
Chief Operating Officer
Recent News
2025-11-29
2025-10-22
Company data provided by crunchbase