Location
Puerto Rico | United States
Job description
Pharmacist
Guaynabo, PR | Monday to Friday 9am-6pm
Salary: $45.00 - $50.00 (hourly)
POSITION SUMMARY:
Pharmacist will review and evaluate coverage determination requests for the clinical opportunity to address the appropriateness of therapy, clinical interventions, generic substitution, or therapeutic interchange opportunities with potential cost savings outcomes, and/or interventions.
This individual will assist with efforts to initiate, support, and continue cost-effective, rational drug and disease therapy, utilizing distinct but inter-related clinical management and cross-departmental functions that focus on improving the health of members while reducing overall health care costs.
TRAINING & EDUCATION
•B.S. in Pharmacy or PharmD.
•Completion of Residency in Managed Care desired.
•Academy of Managed Care Pharmacy (AMCP) Managed Care Certification or
•LICENSURE/CERTIFICATION
•Current, valid, and unrestricted state or local pharmacist license.
•Active membership in a state or local pharmacy association.
PROFESSIONAL EXPERIENCE
Two (2) to five (5) plus years related experience and/or training in coverage determinations or similarly related duties (preferred) Or equivalent combination of education and experience.
KNOWLEDGE
•A thorough understanding of the managed care industries from the perspective of Pharmacy Benefit Managers and providers of care.
•Comprehension of Medicare Part D rules and regulations.
•Knowledge of the rules and regulations promulgated by the US Congress related to pharmacy benefits, especially the Medicare Modernization Act of 2003.
•Knowledge of federal health care delivery and pharmacy regulations/regulatory agencies.
•Knowledge of financial aspects of managed care contracts, financial data, and compliance.
•Knowledge of Microsoft Access, Word, Excel, PowerPoint, and Outlook, as well as Internet Explorer.
•Knowledge of the Commonwealth of Puerto Rico health care delivery and pharmacy regulations/regulatory agencies (preferred).
SKILLS
•Demonstrated effective organizational and communication skills.
•Skill in analyzing situations accurately and taking effective action.
•Skill in exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
•Skill in exercising judgment in applying, interpreting, and coordinating departmental policies and procedures.
•Skills in negotiations and diplomacy.
If you meet the qualifications and are passionate about managed care, we encourage you to apply.
AppleOne is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companies who share our goals of diversity and inclusiveness. All qualified applicants will receive consideration for employment without regard to race, religion, ancestry, color, national origin, age, gender identity or expression, genetic information, marital status, medical condition, disability, protected veteran status, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws..
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For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
Additional Skills
HOW TO APPLY
Interested candidates should contact [email protected]. Please include your resume and any relevant certifications or licensure.
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