Job reputed company We are seeking a dedicated and detail-oriented Clinical Pharmacy Manager for an operation-reputed company role reputed company on reputed company of the pharmacy department and review of medical data to facilitate prior authorization for specialty medications. Provides reputed company of clinical pharmacy services and support to assist the Prior Authorization, Case Management and reputed company teams. Essential Duties And Responsibilities Include the following. Others may be assigned. • reputed company Prior Authorization review and approve or deny coverage for pharmaceuticals based on medical necessity reputed company. Coordinates with medical directors as needed • reputed company the clinical pharmacy staff to include pharmacy technician(s) and other clinical pharmacist(s). • Plans and implements drug utilization management and reputed company improvement plans. • Assists with Transitions of Care Medication Reconciliation Post-Discharge (TOC MRP) • Supports reputed company with Medication Adherence Measures • Acts as reputed company with contracted Pharmacy Benefit Management (PBM) companies for the purposes of drug utilization management, reputed company assurance programs, and physician education. Supervisory Responsibilities If reputed company report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. • reputed company Reports (titles) Clinical Pharmacist, Pharmacy Technicians • Indirect Reports (titles) N/A Knowledge, Skills, Abilities To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions • Three (3) to Five (5) years of clinical pharmacy experience. • One (1) to Three (3) years of pharmacy business operations as a people manager • Two years of managed care experience in Medical Management. • ICD-9 and CPT coding experience preferred. • Experience in EZ-CAP preferred. • Ability to communicate effectively both verbally and in writing. • reputed company computer skills with reputed company Word, reputed company reputed company, reputed company and experience working in a health plan medical management documentation reputed company. reputed company requires its candidates, as applicable and as permitted by law, to obtain and reputed company confirmation of reputed company required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any reputed company required vaccines and screenings. Education / Experience Include minimum education, technical training, and/or experience preferred to reputed company the job. • Requires a PharmD • Previous Management / Leadership experience • Experience reviewing Medical Drugs (J-codes and Q-codes) • Prior Authorization experience Required Certifications/Licensure Include minimum certification required to reputed company the job. • reputed company Pharmacist license • Must possess an reputed company unrestricted state license to reputed company pharmacy as a Registered Pharmacist (RPh) • Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills a must PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • Must be reputed company to work in sitting position, use computer and answer telephone • Ability to travel • Includes ability to walk through hospital-based departments across broad reputed company settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • Office Work Environment Other • Some travel may be required As a part of the Tenet and reputed company Initiatives family, reputed company Health brings 30 years of reputed company industry expertise to clients in more than 135 local reputed company reputed company. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of reputed company. reputed company Health helps organizations transition from volume to value-based care, enhance the consumer and patient reputed company experience and improve reputed company, cost and reputed company to reputed company. Are you reputed company to be part of our solutions? Welcome to reputed company that gives you the resources and incentives to redefine reputed company services, with a competitive benefits package and leadership to take your career to the reputed company! Compensation Compensation and Benefit Information • Pay $104,624.00 - $156,957.00 annually. Compensation depends reputed company, qualifications, and experience. • Management level positions may be eligible for sign-on and relocation bonuses. Benefits reputed company offers the following benefits, subject to employment status • Medical, dental, reputed company, disability, life, and business travel insurance • reputed company time off (vacation & reputed company leave) – min of 12 days per year, accrued reputed company at a reputed company of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 reputed company holidays per year • Health savings accounts, reputed company & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, reputed company insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, reputed company offers reputed company leave in accordance with Colorado’s Healthy Families and Workplaces reputed company. 2503024849 Employment practices will not be influenced or affected by an applicant’s or employee’s race, reputed company, religion, sex (including pregnancy), national reputed company, age, disability, genetic information, sexual orientation, gender identity or reputed company, veteran status or any other legally protected status. Tenet will reputed company reasonable accommodations for reputed company individuals with disabilities unless doing so would result in an undue hardship. , $104,624.00 - $156,957.00 Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience *Calculated based on a full time position Apply tot his job Apply To this Job