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Clinical Pharmacist

Company Name:
Arca24.com
Start date: 2014-09-07T00:36:31.043
Salary period: Annual
Excellence. Its the principle behind everything we do. Clinical Pharmacist Capital BlueCross is ranked among the most competitive insurance companies in the nation because we dedicate ourselves to improving the health and well-being of our members. Join us! You will develop, maintain and evaluate clinical pharmacy initiatives and utilization management programs to ensure that our pharmaceutical services and benefits are consistently cost-effective and quality driven. Will manage the drug formulary program, clinical activities and program administration by the pharmacy benefit management (PBM) company; serve as a valuable resource on policy/quality committees; and help make decisions concerning risk and utilization strategies affecting managed care clients, healthcare providers and external organizations. This role is heavily involved in analyzing trends, formulary management, and establishing policies for vendor clinical programs which support Medicare Part D and accreditation. Candidates must have a current state license, Pharmacy degree (Master's or Pharm.D. preferred) and experience in oversight of PBM activities with emphasis on Medicare Part D case file reviews and pharmacy claims review/processing, formulary management and utilization programs. Must have knowledge of Medicare Part D regulations, NCQA requirements, data integration, and care coordination. We offer a highly competitive, market-driven compensation package. Please apply online at: . Capital BlueCross is committed to providing physical activity and wellness opportunities for our employees. We have been recognized as a 2014 Platinum-Level Fit-Friendly Worksite by the American Heart Association. EOE/AA. Capital Blue Independent Licensee of the BlueCross BlueShield Association

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