[Hiring] Pharmacist Health Plan @Geisinger

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Depending on assigned area of expertise, the pharmacist will perform a variety of duties, including: • Performing extensive literature review for the development of criteria for management of the pharmacy benefit • Administering the pharmacy benefit in conjunction with the Health Plan Pharmacy Customer Service team members • Delivering continuous, high quality member care while maximizing member satisfaction and managing appropriate utilization • Acting as a liaison between the Health Plan and its customers with respect to pharmaceutical benefits • Serving as formulary expert for all lines of business and associated benefit designs • Supporting internal operations in providing information to customers regarding pharmacy and medical drug benefits, formulary details, and prior authorization details as needed • Supporting prior authorization representatives in their duties related to medical necessity, formulary exceptions, and prior authorization reviews • Performing medical necessity reviews for formulary exceptions and prior authorizations according to specified timelines • Performing extensive literature review and developing clinical criteria for new and existing pharmaceuticals as part of a drug review function to be presented at the Pharmacy and Therapeutics Committee • Working closely with clinical enterprise to coordinate the best, most cost effective drug selection policies, and protocols for targeted disease processes • Suggesting improvements and changes to perpetually improve operations Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. Qualifications • Bachelor's Degree in Pharmacy (Required) • Bachelor's Degree (Preferred) Requirements • Licensed Pharmacist (Pennsylvania) within 90 days Benefits • Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners • Encouragement of an atmosphere of collaboration, cooperation and collegiality