Pharmacist

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

None

Job Family:

Healthcare Evaluation

Job Qualifications:

Skills:

Call Center, Clinical Information Systems, Customer Service, Documentations, Health Care

Certifications:

None

Experience:

8 + years of related experience

US Citizenship Required:

Yes

Job Description:

Healthcare Clinical Evaluator Advisor-Pharmacist

Drive better health outcomes for our clients as a Pharmacists at GDIT. Here, your work will impact many as you deliver healthcare expertise and services where they are needed most.

At GDIT, people are our differentiator. As a Pharmacist you will help ensure today is safe and tomorrow is smarter. Our work depends on a Pharmacist joining our team to provide world class customer service to our client. We are looking for a detail oriented, customer

focused Pharmacist to support our Prior Approval team in a call center environment. The Pharmacist will review prior approval request using clinical information to ensure timely adjudication, accurate decisions in compliance with State approved clinical criteria.

HOW A HEALTHCARE CLINICAL EVALUATOR ADVISOR-Pharmacist WILL MAKE AN IMPACT 

• Responsible for reviewing prior approval requests by reviewing patient-specific clinical documentation, treatment history, and preferred drug list.
• You will work as a individual contributor to ensure that prior approval requests are adjudicated in a timely manner assisting with meeting SLA requirements.
• You will be working with a team of Pharmacists and pharmacy technicians to ensure that we are properly adjudicating prior approval requests in accordance with North Carolina's approved criteria. Answer incoming calls related to PA requirements, status updates,
• or general inquiries, providing world class customer service.
• Recognizes, evaluates, interprets, recommends and implements policies and procedures for specific components of pharmacy services.
• Provide medical expertise in prior approval pharmacy services.

WHAT YOU’LL NEED TO SUCCEED:

• Education: PharmD or undergraduate degree in Pharmacy with residency or advanced clinical experience. Unrestricted State Licensure Required.
• Required Experience: 8+ years of clinical Pharmacy experience

Required Technical Skills:

• Working knowledge of how to navigate computer systems, email, Microsoft suite (Word, Excel, PowerPoint etc.), telephone software.
• Required Skills and Abilities: Ability to work independently, strong
• communication skills, ability to problem solve and facilitate agreement, ability to work a weekly rotating schedule to include weekends and holidays.

Preferred Skills:

• Familiarity with Medicaid, Medicare Part D, or PBM operations. Prior experience with call center operations or customer service roles a plus
• Location: Hybrid
• US Citizenship Required

GDIT IS YOUR PLACE:

• 401K with company match
• Comprehensive health and wellness packages
• Internal mobility team dedicated to helping you own your career
• Professional growth opportunities including paid education and certifications
• Cutting-edge technology you can learn from
• Rest and recharge with paid vacation and holidays

The likely salary range for this position is $127,254 - $146,342. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Hybrid

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time of