AmTrust Financial Services, Inc. · 1 day ago
Clinical Review Pharmacist
US-AZ-Scottsdale
Full-time
Hybrid
Mid Level
$116K/yr - $120K/yr
3+ years expAmTrust Financial Services is a fast-growing commercial insurance company seeking a Clinical Review Pharmacist. The role involves reviewing the medical necessity and appropriateness of medications for workers’ compensation injured employees, collaborating with adjusters and nurses to ensure timely and medically necessary treatment.
FinanceFinancial ServicesInsurance
Responsibilities
Review prescription prior authorizations in the timeliest manner
Any supporting clerical tasks associated with pharmacy authorizations/reviews
Document medication determination based on professional clinical judgement, evidence-based guidelines, clinical treatment guidelines, state specific workers’ compensation formularies, and third-party Utilization Review when appropriate
Document judgement on medication determinations on multiple platforms
Recommend to the appropriate party alternative medications, alternative dosing, or other modifications (including discontinuation of medications) as appropriate
Reviews therapy plans with case nurses as needed
Escalate cases for multi-disciplinary reviews
Telephonic engagement with providers for peer-to-peer interventions
Participate in clinical quality audits for inter-rater reliability assurance and support
Pharmacists review medication orders for completeness, accuracy, and legality, determining the presence of medication therapy problems in a patient’s current medication therapy, including, for example, any of the following:
Medication prescribed inappropriately for a particular medical condition
Current medication therapy regimen is inappropriate (dose, dosage form, duration, schedule, route of administration, method of administration)
There is therapeutic duplication
Provide pharmacological information by answering questions and requests of health care professionals and adjusters
Maintain privacy and confidentiality of all records while adhering to ethical, legal, and regulatory standards
Ability to work independently and prioritize workload
Qualification
Required
3+ year of experience in pharmacy clinical care
Pharmacy B.S or Pharm D
Strong documentation skills
Strong communication and presentation skills
Preferred
Prior Authorization
Pain management treatment protocols and clinical guidelines
Excellent oral and documentation communication skills
MTM certifications
Workers' compensation managed care treatment
Clinical guidelines and formulary management
Benefits
Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off
Company
AmTrust Financial Services, Inc.
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company.
5001-10000 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2006-11-13IPO
Leadership Team
D
Daniel Pacicco
Executive Vice President, Chief Financial Officer
Carl Canales
Executive Vice President - North American Field Operations
Recent News
2025-11-07
2025-11-05
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