Telephonic Pharmacist
Listed on 2026-01-12
-
Healthcare
Pharmacy
Description
Overview:Under supervision of a Clinical Pharmacy Assistant Manager as designated, supports Formulary adherence by providing consistent medication review and benefit coverage determination. Assist new members with the transition of chronic medications, facilitating appropriate medication conversions. Partner with practitioners to optimize medication regimens. Review acceptance of conversion recommendations associated with new member consults. Maintain pharmacy services in accordance with departmental policies and standards as well as state and federal laws and regulations.
Works in concert with medical office and regional office administration to ensure effective delivery of pharmacy services.
Interacts with practitioners, peers and patients in order to effectively explain and shape prescribing practice and formulary adherence.
Assist with achievement of strategic initiatives and critical areas of pharmacy focus (i.e.
- Formulary adherence, medication reconciliation, & criteria restricted medicine use).
Able to effectively navigate electronic resources to research, influence and support drug benefit coverage decisions. Comprehends and utilizes policies, procedures, protocols, drug information resources and TSPMG treatment guidelines as appropriate.
Interacts and consults with practitioners when necessary to improve quality of care and improve value; educates practitioners regarding cost effective therapy and drug utilization goals (e.g. preferred drug, formulary and drug promotion).
Specific responsibilities may include: assessing new member medication regimens, identifying HRME, assessing ADEs, patient enrollment into specific services, educating patients and/or caregivers regarding drug therapy and disease management, coordinating drug therapy with home health care services, telecommunication with patients and practitioners, notifying patients regarding dosage adjustments, scheduling lab follow-up appointments, designing drug treatment plans for patients, managing adverse events and drug interactions, using computerized pharmacy databases for drug information, patient tracking and documentation, generating consultations to practitioners and documenting in medical record.
Provides pharmaceutical care for members including prospective, concurrent and retrospective drug utilization review, medication reconciliation, screening for drug allergies, monitoring interactions and duplications, following-up with physicians as appropriate, and counseling patients.
Serves members in a friendly, courteous and expeditious manner to promote member satisfaction and retention.
May perform other duties as assigned.
RequiredSkills & Qualifications
Active Pharmacist License in Georgia
Doctor of Pharmacy (Pharm
D)Clinical formulary adherence knowledge
Proficiency with Microsoft Office (Excel assessment required)
Strong written, verbal, and typed communication skills
Effective problem‑solving abilities
Ability to deliver high‑level customer service, including managing upset or frustrated members
Prior authorization experience
Experience working in a Pharmacy Benefit Manager (PBM) environment
Medication Therapy Management (MTM) experience
Familiarity with Lexicomp
Ambulatory pharmacy experience
Experience with EPIC or other EMR systems
Pharmacist expertise
Pharm
D trainingFormulary knowledge
Formulation understanding
Entry Level
Job Type & LocationThis is a Contract position based out of ATLANTA, GA.
Pay and BenefitsThe pay range for this position is $50.00 - $55.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long‑term disability
• Health Spending Account (HSA)…
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