Your Role

The Pharmacy Services Drug Utilization Management team provides efficient and accurate responses to external customer (physicians, office staff, pharmacy providers, members and brokers) and internal team members for all outpatient medical benefit inquires . The Pharmacist, Consultant will report to the Manager of Medical Benefit Drug Utilization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process and support the clinical components of the Pharmacy Services Drug Utilization Program by ensuring that evidence based clinical decisions of the Blue Shield of California Pharmacy and Therapeutics Committee are implemented operationally in order to support safe, efficacious, and cost-effective prescribing of medications provided under the medical benefit.

Your Knowledge and Experience

• Requires a Doctor of Pharmacy (PharmD) degree
• Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
• Requires at least 2 years of experience in clinical pharmacy
• Prior experience in managed care/PBM is preferred
• Requires working at least one weekend per month and company holidays as needed to ensure regulatory compliance with prior authorization turnaround times
• Thorough knowledge of therapeutic use of medications
• Excellent oral and written communication skills

Pay Range:

The pay range for this role is: $118,800.00 to $178,200.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

#LI-JS3