[Hiring] Clinical Pharmacist, Pharmaceutical Services Consultant @Conduent

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Clinical Pharmacist, Pharmaceutical Services Consultant will evaluate new-to-market medications, develop clinical recommendations, and propose utilization criteria for HCA New Mexico to support New Mexico Medicaid members. • Proactively deliver new drug analyses and recommendations, including coverage guidance, clinical prior authorization criteria, pharmacoeconomic insights, and pharmacy practice guidelines. • Provide ad hoc data analyses and query results to HCA New Mexico to support clinical program development and decision-making. • Lead regularly scheduled client clinical meetings and remain available during business hours to address client questions and requests. • Review rejected claims and provide clinical recommendations for prior authorization determinations. • Collaborate with Retro DUR pharmacists to implement new interventions, create ad hoc reports, and address inquiries from clients, providers, and internal staff. • Partner with the account team to update clinical interventions based on evolving treatment guidelines and evidence-based recommendations. • Work with the IT team to ensure accurate configuration of clinical recommendations. • Supply required data for annual CMS survey responses. • Present clinical updates quarterly at state DUR Board meetings. Qualifications • PharmD degree. • Minimum of two (2) years’ experience with Pharmacy Benefit Management, Prior Authorization processes, and knowledge of pharmacy point-of-sale systems and adjudication rules. • Proficiency with Microsoft 365 (Word, Excel, PowerPoint, SharePoint). Requirements • Knowledge of Pro DUR and Retro DUR. • Understanding of formulary management practices. • Familiarity with FDB (First Databank). • Medicaid program experience. • Strong clinical data analysis skills. Benefits • Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment. • Retirement Savings: We will support you as you save for your future. • Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more. • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint. • Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career. • Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work. • Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts. Apply tot his job