Clinical Pharmacist, Clinical And Quality Programs

CalOptima Foundation

Orange, CA, US
Base: $120,881 - $193,410; bonus/equity: not speci...
On-site
Doctor of pharmacy degree required
Current california pharmacist license
Drug utilization management expertise
This role is an integral part of the Pharmacy Management team advancing pharmacy quality initiatives within Medi-Cal, Medicare, and Covered California lines of business

Job Summary

  • This role is an integral part of the Pharmacy Management team advancing pharmacy quality initiatives within Medi-Cal, Medicare, and Covered California lines of business.
  • The position involves developing drug utilization criteria, reviewing prior authorization requests, and participating in medication therapy management programs.
  • Employees enjoy competitive compensation ranging from $120,881 to $193,410 along with a comprehensive benefits package including CalPERS pension and tuition reimbursement.

Matching Summary

This role is an integral part of the Pharmacy Management team advancing pharmacy quality initiatives within Medi-Cal, Medicare, and Covered California lines of business.

Salary

Base: $120,881 - $193,410; Bonus/Equity: Not specified; Benefits: CalPERS pension, PTO, Tuition Reimbursement

Skills & Requirements

Must-have

  • Doctor of Pharmacy degree required
  • Current California pharmacist license
  • Drug utilization management expertise
  • Medicare and Medi-Cal knowledge
  • Prior authorization review experience

Nice-to-have

  • Managed care or residency experience
  • CMS audit experience preferred
  • Bilingual in English and Spanish
  • NCQA audit experience
  • Disease state management skills

Key Requirements

  • Doctor of Pharmacy degree
  • Valid California state registered pharmacist license
  • Knowledge of CMS, DHCS, DMHC regulations
  • Experience in managed care pharmacy practice

Work Rights

Must be authorized to work in California

Tailored Resume

Cover Letter