Consulting Managed Care Staff Pharmacist | Prairieville, Louisiana

Pharmacy - Staff Pharmacist 6 days ago Prairieville, LA

This opportunity offers a 13-week contract role starting in October, focused on remote Medication Therapy Management (MTM) consulting within a telehealth environment. The role is centered on delivering comprehensive telepharmacy services, supporting a multi-state outreach that is expanding rapidly to cover 30 to 40 states.

Work Schedule/Hours:

  • Remote position with flexible scheduling aligned with patient consultation demands during November through February surge periods.
  • Additional surge assignments expected in April, May, and July.

Location:

  • Remote, with Louisiana serving as the operational hub. Candidates licensed in Louisiana have enhanced opportunities for ongoing full-time work due to high patient volumes.

Key Responsibilities:

  • Conduct virtual patient consultations via phone or video to perform Comprehensive Medication Reviews (CMRs) and Targeted Medication Reviews (TMRs), addressing medication side effects, adherence, and therapy-related questions.
  • Review prior authorizations, formulary exceptions, and step-therapy limits applying clinical guidelines and safety standards.
  • Collaborate with healthcare providers through secure messaging or calls to recommend formulary-aligned, cost-effective treatments.
  • Proactively reach out to patients and providers to close care gaps in chronic disease management.
  • Assist with formulary rule translation for PBM claims adjudication systems, supporting claims data review.
  • Maintain compliance with HIPAA, telepharmacy regulations, and client contractual requirements, documenting all clinical activities accurately.

Qualifications/Desired Experience:

  • Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy.
  • Active, unrestricted pharmacist licensure, preferably multi-state with a minimum of five state licenses from states including but not limited to Louisiana, Indiana, North Carolina, and Utah.
  • Minimum 2 years of clinical pharmacy experience, preferably in PBM, managed care, or telehealth clinical pharmacy.
  • Strong knowledge of chronic disease management, drug utilization review, and formulary navigation.
  • Proficiency with telehealth platforms, electronic health records (EHR), and PBM claims software.
  • Excellent communication skills for patient interaction and collaborative provider consultations.

Benefits and Perks:

  • Remote work flexibility.
  • Exposure to a growing telepharmacy service expanding across multiple states.
  • Opportunity for continued full-time work based on licensure breadth and performance.

This contract enables pharmacists with multiple state licenses to engage in impactful clinical work supporting large patient populations while enjoying the flexibility of remote consulting. Candidates prepared to join a dynamic telehealth MTM team are encouraged to apply now as submissions open in August for October onboarding.

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