Job Description

Are you a  Licensed Clinical Pharmacist looking to make a meaningful impact while enjoying the flexibility of remote work? BroadPath is seeking an experienced Clinical Pharmacist to join our remote team in shaping the future of pharmacy benefit management! As a Clinical Pharmacist, your role will be crucial in leading utilization management initiatives for drug therapies, evaluating prior authorization requests using your clinical expertise, and developing and maintaining evidence-based pharmacy guidelines.
This is a work from home role, with a part-time schedule (8-10 hours per week). The position is temporary with possibility of longer-term extension.

• Evaluate prior authorization requests and make coverage determinations based on member benefits and clinical criteria
• Support the Pharmacy and Therapeutics Committee by developing clinical guidelines and drug utilization protocols
• Provide clinical expertise for prescription claim reviews and pharmacy operations
• Collaborate with pharmacy staff to implement and improve utilization management programs
• Serve as a clinical resource for internal staff regarding medication therapy
• Mentor pharmacy students and guide pharmacy technicians

Clinical Expertise

• Review and analyze industry trends to develop clinical criteria
• Utilize clinical resources, including LexiComp, Micromedex, UptoDate, and NCCN guidelines
• Design and implement clinical edits for claims adjudication
• Resolve member and provider inquiries regarding prior authorizations and formulary services

Lead strategic clinical initiatives, including:

Opioid Management

• Conduct retrospective reviews of high-dose opioid usage
• Collaborate with prescribers on dosage optimization
• Educate providers on CDC guidelines and Medication Assisted Treatment

Cost Management

• Monitor high-cost utilization across pharmacy and medical benefits
• Implement medication reconciliation programs
• Identify cost-effective therapeutic alternatives

Behavioral Health

• Optimize complex psychiatric medication regimens
• Partner with case management to improve patient outcomes
• Develop and track medication optimization plans

Leadership Qualities

• Strong decision-making and problem-solving abilities
• Commitment to customer service excellence
• Proven track record of teamwork and collaboration
• Dedication to continuous professional development

Join our team to make a meaningful impact on patient care while advancing your clinical pharmacy career. This role offers the perfect blend of clinical decision-making, program development, and healthcare innovation.

• 1 year of experience with specialty medications or direct prior authorization experience
• 1 year of current experience in Diabetes, Cholesterol, Hypertension, Asthma/COPD management
• Doctor of Pharmacy (Pharm.D) degree
• Active, current and unrestricted State of Arizona (a state in the United States) pharmacist license

Preferred Qualifications 

• 5 years as a practicing pharmacist
• 3 years of experience in the managed care pharmacy field
• 2 years of direct prior authorization experience
• 1 year of experience with ACA formulary and utilization management
• 2 years of experience with Medicare Part D formulary and utilization management
• Working knowledge of MediSpan data system, including GPI drug classification system
• 1 year of current experience performing drug efficacy-cost analysis
• 1 year of pharmacy clinical program reviews (MTM or other)
• Pharm. D with residency or fellowship preferred

Preferred Licenses

• Board Certified Ambulatory Care Pharmacist (BCACP)
• Certified Geriatric Pharmacist (CGP)

Preferred Certifications

• Certified Diabetes Educator (CDE)

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

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