Clinical Pharmacist

Summary

Join Rightway's PBM Clinical Operations team as a Clinical Pharmacist, Specialty, playing a key role in delivering a 'pharmacist in the family' approach to specialty medication member engagement. You will guide members, provide concierge-level support, assist with enrollment in assistance programs, and onboard new members. Responsibilities include performing core pharmacist duties, collaborating with the Navigation team, contributing to Pharmacy & Therapeutics processes, and supporting prior authorization reviews. This role requires a Pharmacy degree (PharmD preferred), 3 years of direct patient care experience, and excellent communication skills. A willingness to go the extra mile and provide outstanding customer service is essential. The base salary is $120,000-$128,000.

Requirements

• Pharmacy degree required
• 3 years in direct patient care such as PBM clinical operations, Health Plan Pharmacy Department, or Specialty pharmacy
• State of residence

Responsibilities

• Guide specialty members as if you are the “Pharmacist in the Family” to help specialty members manage their medications and disease states
• Engage with specialty members via phone, chat, and email to provide a white glove/concierge experience for members
• Support and assist specialty members in enrolling in copay/patient assistance programs
• Onboard new specialty members: assist in drug selection (as needed), specialty clinical assessment, selection of a specialty dispensing pharmacy, clinically support member throughout the continuum of care
• Go above and beyond to answer member questions about all things pharmacy related
• Perform core Pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, and recommending changes to patient's drug regimens
• Partners with Rightway’s Navigation team where needed to provide holistic support to members
• Contributes to the Pharmacy & Therapeutics process in the research, preparation and presentation of drug monographs, therapeutic category reviews and clinical policy development
• Ensures that these processes meet or exceed regulatory and best practice standards
• Supports prior authorization review process as needed regarding specialty drug product selection and formulary compliance to ensure quality of care
• Effectively collaborate with third-parties in the administration of Rightway’s clinical pharmacy strategy

Preferred Qualifications

• PharmD preferred
• Managed Care or specialty pharmacy residency preferred
• Multi-state licenses and/or be willing to attain licensure in additional states

Benefits

BASE SALARY: $120,000-$128,000