Sr. Clinical Pharmacist - Remote

Prime Therapeutics is a leading pharmacy benefit manager (PBM) dedicated to reimagining pharmacy solutions and simplifying healthcare for its members

The company operates with a purpose beyond profits, focusing on connecting care and making a tangible difference in people's lives through innovative pharmacy services

This Senior Clinical Pharmacist role is integral to the organization's mission, contributing to the development and implementation of critical clinical and regulated pharmacy programs

The position offers a unique opportunity to work within an integrated technology platform and electronic medical record system, driving the future of care.

The successful candidate will primarily be responsible for the clinical and regulatory analysis required for various programs, including coverage lists supporting client benefits

This involves partnering with the Quality Audit team to develop and maintain project and benefit plan testing scenarios, interpret project requests, and assist with technical solutions

Key responsibilities include ensuring benefit plans comply with all federal, CMS, state, and local regulations, and developing and maintaining drug lists for claims adjudication systems, along with point-of-service messages and Drug Utilization Review table settings

The role requires a keen eye for identifying system problems and resolving setup issues promptly to prevent member disruption.

Joining Prime Therapeutics means becoming part of a team that is passionate about simplifying healthcare and making a difference

The company fosters a collaborative environment where employees are supported in their professional growth and challenged to work at the top of their license

With opportunities to contribute to quality assurance and analytical activities, this role is ideal for a seasoned pharmacist looking for a purpose-driven career in a dynamic and evolving industry

Prime is committed to developing its team members, providing a wide array of professional growth opportunities for those ready to advance their skills and careers.