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Utilization Management- 26337-1 MPK

Monterey Park, California | Contract

Job ID: 55652 Position: Administrative/Clerical/Support Branch: Torrance

EXCITING 1 YEAR CONTRACT FOR UTILITZATION MANAGER IN MONTEREY PARK!

 

RN JOB DESCRIPTION (Drug Utilization Review (DUR) Pharmacist)

Overview:

This position is primarily responsible for supporting the Pharmacy and Therapeutics (P&T) Committee process, and supports the clinical components of the Pharmacy Services Benefit Management Drug Authorization Program by ensuring that evidence based clinical decisions of the company Pharmacy and Therapeutics Committee are implemented operationally in order to provide a quality, cost effective pharmacy benefit.

Responsibilities:
  • Support the operational and clinical implementation of medication policies for drugs in the pharmacy benefit, for both Medicare and Medi-Cal lines of business.
  • Provide pharmacist support for the drug prior authorization program by providing clinical expertise to Prior Authorization technician team to ensure review of prior authorization requests
  • within all regulatory required time frames.
  • Ensure compliance with various regulatory and quality accreditation requirements around drug utilization management in order to support safe, efficacious, and cost-effective prescribing.
  • Provide pharmacotherapy expertise for the pharmacy program by supporting the Pharmacy and Therapeutics Committee, drug formulary, prior authorization, drug utilization review and
  • physician reporting programs.
  • Serves as an educational resource to internal and external constituents regarding the company drug formulary, medication policies and appropriate drug use.
  • Provides support for the development and maintenance of an internal company Drug Formulary for all product lines.

Qualifications:
  • Pharm. D. degree in Pharmacy and two years of experience in clinical pharmacy, or equivalent combination of education and experience, plus current and unrestricted/clear California Pharmacy License
  • Prior experience in a managed care/PBM setting is preferable.

Additional Skills:
  • Thorough clinical knowledge regarding therapeutic use of drugs.
  • Excellent oral and written communication skills.
  • Proficient with computers and related software applications.

Rachel Savitt
Staffing Manager

Rachel rejoined the Wollborg Michelson Recruiting team in Torrance as the Staffing Manager. She previously worked for the company from 2006-2009 as a Recruiter for the Temporary division. Rachel brings over 16 years of Staffing Industry experience. She has worked on all sides of the industry as a temporary employee, client, full desk Recruiter as well as corporate for a Staffing Company. Her goal is to change the lives of everyone she works with no matter what their role. In her free time, Rachel enjoys spending time with her friends and family. She is active with multiple non-profit animal rescues and prefers to ask for donations instead of gifts for birthday. She also enjoys kickboxing, Muay Thai and dancing. Rachel always finds a way to connect with people. Her #1 Strength from Strengthfinders is Connectedness.

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