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Healthy Careers Start Here
At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.
The Clinical Pharmacist provides clinical support for a wide range of pharmacy management programs designed to encourage appropriate utilization of the BCBSMS pharmacy and medical benefits in collaboration with the Manager, Clinical Pharmacy and Medical Director. The Clinical Pharmacist collaborates with the Manager, Clinical Pharmacy to obtain and analyze available internal data and external prescription drug data to formulate recommendations for prescription drug program benefit design. The incumbent is accountable for the day-to-day review of drug database information for pharmacy benefits administration, initial drug prior authorization requests, drug re-authorizations requests, and drug appeals.
Job-Specific Requirements:
- A current Mississippi pharmacist license (or intent to get same) is required.
- A Doctor of Pharmacy (PharmD) degree and a residency are preferred.
- Proven clinical pharmacy knowledge is required.
- Excellent oral and written communication skills are required.
- Excellent presentation skills are required.
- Proven analytical skills are required.
- Proven knowledge of Word and Excel is required.
- Knowledge of Access, Showcase and other software tools is preferred.
- Previous managed care or pharmacy benefits management experience is preferred.
- Proven project management and problem solving skills are required.
- Understands basic economic principals and can apply them to the pharmacy management setting.
Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
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