PHARMACIST CLINICAL
Location: Mount Prospect, Illinois
Description: CVS Caremark is currently interviewing PHARMACIST CLINICAL right now, this job will be designated in Illinois. For complete informations about this job opportunity please read the description below. Job Category: Pharmacist
Clinical Licensure Required : Pharmacist
Job Type: Full Time Position Summary:
- Collection of appropriate clinical/ medical ! data needed to perform clinical assessments and/or reviews as per the healthplan/employer agreed criteria, including inbound from the coordinator as needed as well as outreach calls to physician offices.
- Conducts prospective, concurrent, and/or retrospective review of cases using healthplan/employer agreed upon
- Documentation of required clinical/ medical data that support case decision as required â€" electronically and/or in written format.
- Coordinates timely communication of case decision to physician, healthplan/employer, patient and other healthcare professionals, and internal departments within CVS\Caremark following agreed upon approval & denial management processes.
- Generates, reviews and validates reporting related of program results
- Participate in implementation of new Specialty Pharmacy Programs with employers and health plans as needed. Implementation includes discussion of existing clinical guidelines, individualizati! on of clinical guidelines, processes and procedures to health ! plan/employer specifics, and review of denial management processes.
- Documentation and validation of client specific processes including communication procedures plan demographics, criteria selection, denial management procedures, and reporting requirements.
- Facilitation of documentation of program agreement with client. Required Qualifications:
Pharm D desirable Preferred Experience: Two (2)to Five (5) years previous experience in acute care, ambulatory care or home care clinical setting preferred. -Previous experience in managed care or utilization review is desired -Knowledge of Access, Power Point, and Visio is preferable. Education:
A licensed Registered Pharmacist (Pharm D desirable) Business Overview:
CVS Caremark, through our unmatched breadth of service offerings, is transforming the delivery of ! health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units â€" MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
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If you were eligible to this job, please send us your resume, with salary requirements and a resume to CVS Caremark.
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This job will be opened on: Fri, 21 Jun 2013 13:17:34 GMT
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