Job Description Summary
Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding the use of pharmaceutical treatment regimens. Complies with all corporate and facility standard operating procedures, policies, guidelines, and work instructions.
Job Description
Algorithm Job Description Summary
- Maintains the inventory of MRxM clinical algorithms. Responsible for coordinating the timing of implementation(s), revisions, revision quality, documentation of changes, and coordinating with IT on release.Creates new and updates existing MRxM clinical algorithms based upon relevant source data (e.g. MRxM clinical criteria, client criteria, Medicare LCD, etc.). Provides support for clinical client inquiries and internal partners. Complies with all standard operating procedures, policies, guidelines, and work instructions.
- Responsibilities
- Strong drug product and clinical pharmacy knowledge.License must be current and in good standing.
- Work Experience
- Work Experience – Required:
- Pharmacy
- Work Experience – Preferred:
- Education
- Education – Required:
- Bachelors – Pharmacy
- Education – Preferred:
- PharmD – Pharmacy
- Certifications
- Certifications – Required: