Pharmacist, Utilization Case Manager
Title: Pharmacist, Utilization Case Manager - Archimedes Location: United States remote Category Archimedes Position Type Full-Time Job Description: Company Archimedes
About Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, Pay Range USD $0.00 - USD $0.00 /Yr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) 8:00 AM to 5:00 PM-Remote or Hybrid 3 Day In Office-St. Louis, MO or Brentwood, TN office Remote Work Notification ATTENTION: Archimedes is unable to offer remote work to residents of Alaska, Arizona, Arkansas, California, Connecticut, Delaware, Hawaii, Idaho, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Montana, Nebraska, Nevada, New Mexico, New York, North Carolina, North Dakota, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Washington, West Virginia, And Wyoming.
Overview
The Pharmacist, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states
Responsibilities
How do I make an impact on my team?
- Review chart notes and perform utilization management on patient/drug specific case basis.
- Coordinate facilitation of patients' specialty drug treatment, ensuring timely delivery to the appropriate site of care.
- Handle case assignments, review case progress, properly document case notes, and determine case closure.
- Provide clinical expertise to prescribers around preferred therapy and be a guide for prescribing offices through the prior authorization process.
- Follow established procedures, processes, and standards for production, productivity, quality, and customer service. Meet performance targets for speed, efficiency, and quality.
- Complete care management clinical escalations. Escalate to account management as appropriate.
- Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.
- Participate in, adhere to, and support compliance, people and culture, and learning programs.
- Perform other duties as assigned.
Qualifications
What our team expects from you?
- Education: PharmD required.
- Certification/Licenses: Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts. Refer to the Licensure and Credentialing Verification P&P for current detail.
- Experience:
- Retail, hospital, or specialty pharmacy experience required.
- Utilization and Case management experience preferred.
- Experience in an infusion setting, physician office, or pharmacy preferred.
- Experience with managing specialty medications for patients with chronic illness preferred.
- Expert in Microsoft Office Suite.
What can you expect from Archimedes?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
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