Supervisor, Utilization Management Pharmacist

Support on-going training of current staff and onboarding new clinical pharmacists, including developing and maintaining job aids and/or policies and procedures.

Work in conjunction with other leadership in analyzing available data and provide staffing, workflow and system enhancement recommendations.

Identify and apply career development opportunities for employees.

Perform day to day clinical pharmacy functions including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education or peer-to-peer calls.

Meet or exceed performance metrics while maintaining quality and providing superior customer service to all stakeholders.

Provide support for clinical programs as needed, including triaging incoming clinical calls and conducting outreach calls to prescribers, pharmacies, and members.

Provide on call support as needed for after-hours pharmacist/clinical programs/emergent calls on rotating schedule that includes nights, weekends and holidays.

Work collaboratively with internal business and clinical partners to support initiatives including clinical interventions, clinical programs, data and claims review, and on-boarding of new clients, as required.

Support Manager, Utilization Management with additional duties as assigned.

Required Qualifications:

Active, unrestricted pharmacist license

Bachelor's or Doctor of Pharmacy Degree with 2+ years of pharmacy practice experience

Experience in customer service, call center and prior authorization required

Excellent communication, writing, and organizational skills

Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven call center environment

Self-motivated and detail-oriented problem solver

Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team

Have a designated workspace (an office, spare bedroom, etc) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations

Have the following internet connectivity: DSL, cable modem or fiber with a wired connection to device (wi-fi not allowed). Internet speed of one gigabyte (940bps) is required

Working knowledge of MS Office

2+ years of experience as a clinical pharmacist in a Pharmacy Benefit Management (PBM) setting.

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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