We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.
The Clinical Review Pharmacist shall assist the Supervising Pharmacist, Prior Authorizations in formulary management including, but not limited to: overseeing the prior authorization process, utilization review reporting, pharmacy and therapeutics committee activities, communication with physicians and pharmacists, administration of appeals and grievances, and communication with staff on departmental policies and procedures. On call duties are a requirement of the job.
Bachelor’s degree required; licensed to practice pharmacy in the state of New York required.
Five (5) years of pharmacy experience required; professional experience providing pharmaceutical care, preferred.
PC and windows skills required. Proficiency with pharmacy computer systems preferred.
Excellent written and verbal communication skills with experience communicating with other health care professionals.
Strong clinical knowledge base kept current through educational endeavors and professional affiliations; strong comprehension of pharmaceutical managed care issues.
Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring.
Knowledge of all aspects of the prior authorization, appeals and grievance processes.
Knowledge of clinical protocols, policies and procedures required to administer the pharmacy benefit with consistency and expediency.
Prepare communication as required.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $120,000 - $140,000 annually
Compensation may vary based on factors including but not limited to skills, education, location and experience.
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information.
Current Associates must apply internally via the Job Hub app.
As one of Western New York's first HMOs, Independent Health covers approximately 355,000 people here and across the country with more than 100 plans, services and products.
If you have any questions about your Independent Health account, feel free to contact us through one of the following links:
Members - Contact Member Services for questions regarding your Independent Health plan, benefits, doctor information, etc. You may also use this link if you are having problems logging into our online system.
FSA Members - Contact the FSA Department for questions regarding your FSA Account information. You may also use this link if you are having problems logging into our online system.
Healthcare Professionals/Providers - Provider or Health Care offices may contact Provider Relations for billing inquiries, requests to become participating providers, or for general questions.
Employers - Contact Employer Relations
Brokers - Contact Broker Sales
