Clinical Pharmacist - Data Analytics

Tasks

• Analyze prior authorization data and trends
• Conduct therapeutic class reviews
• Coordinate with medical directors
• Develop utilization management solutions with cross functional teams
• Forecast financial and administrative impact
• Identify utilization management strategies
• Monitor and evaluate utilization management performance
• Prepare information for network physicians
• Provide DUR clinical support to pharmacists
• Report prior authorization performance metrics
• Research pharmaceuticals clinical data
• Review and manage pharmaceutical coverage based on medical necessity
• Support pharmacy and therapeutics committee with drug monographs
• Track financial impact of utilization management initiatives

Perks/Benefits

• 401k match
• Dental insurance
• Hybrid work schedule
• Incentive and recognition programs
• Life insurance
• Long-term disability
• Medical insurance
• Paid Holidays
• Paid time off
• Short-term disability
• Stock purchase plan
• Vision insurance
• Wellness programs
• Wellness programs and financial education resources

Skills/Tech-stack

Clinical Data Analysis | Clinical data | DUR | Data Analysis | Drug Monograph Management | Forecasting | Formulary management | Medical Necessity | Medical Necessity Evaluation | Medication Utilization Management | Prior authorization | Utilization management | Utilization review