Clinical Pharmacist

The Pharmacy Management division is looking to add a Clinical Pharmacist focused on medical drug policy oversight and development.  This role will focus on clinical criteria writing for provider-administered drug products, ensuring alignment with FDA labeling and compendial support.  This position will present new and revised policies to the Pharmacy & Therapeutics (P&T) Committee monthly and quarterly.  Expertise in drug policy development, drug information, and P&T committee presentation strongly preferred.

Preferred qualifications include: 

• Prior experience in clinical drug policy development and maintenance.
• Prior experience with drug information and literature evaluation.
• Pharmacy & Therapeutics (P&T) Committee experience.

Job Responsibilities

• Assists in development and maintenance of formularies, clinical criteria, and/or drug management processes.
• Serves as a clinical resource and drug information specialist to medical, pharmacy, & nursing staff as well as to allied healthcare providers internally and externally.
• Receives and responds to prescriber, representative, and member pharmacy prior authorizations, appeals, grievance requests within regulated time periods.
• Provides and participates in ongoing maintenance, record keeping and oversight to support NCQA, URAC, and CMS quality and audit readiness on a monthly and quarterly basis.

Job Qualifications

Education

• Doctor of Pharmacy (PharmD) Degree

Experience

• 5 years - Clinical experience required, and/or completion of 1 year residency and/or Board of Pharmacy Specialties certification.

Skills\Certifications

• Competency in compendia navigation and research
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
• Must be a team player, be organized and have the ability to handle multiple projects
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Solid understanding of regulatory guidelines (FDA, NCQA, EQRO, CMS)
• Knowledge of medical and pharmacy products

License

• Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the state of Tennessee to practice Pharmacy

Number of Openings Available:

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individua