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Clinical Pharmacist

Company: Centene Coproration
Location: Baton Rouge
Posted on: December 3, 2019

Job Description:

Description: Position Purpose: Define and develop standard and custom formularies for assigned plan. Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clients Monitor and review prior authorization requests for medications Develop and design clinical edits to adjudicate claims and enhance drug utilization Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews Participate in the development and implementation of medication therapy management programs Provide clinical guidance and support to various departments and address clinical related questions

Keywords: Centene Coproration, Baton Rouge , Clinical Pharmacist, Healthcare , Baton Rouge, Louisiana

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