Clinical Pharmacist

Point32health Inc

Canton, MA, United States
Base: $110,594.35 - $165,891.53; bonus/equity: not...
On-site
Prior authorization review
Coverage determinations
Consult with medical directors
Point32Health Inc is seeking a Clinical Pharmacist for their Canton, MA location. The role involves managing pharmacy prior authorization requests and ensuring compliance with regulatory guidelines while contributing to a culture focused on inclusion and community care

Job Summary

  • Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare.
  • The Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and exceptions.
  • Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage, Retirement plans, Paid time off, Employer-paid life and disability insurance with additional buy-up coverage options, Tuition program, Well-being benefits, Full suite of benefits to support career development, individual & family health, and financial health.

Matching Summary

Match Score: 85

Point32Health Inc is seeking a Clinical Pharmacist for their Canton, MA location. The role involves managing pharmacy prior authorization requests and ensuring compliance with regulatory guidelines while contributing to a culture focused on inclusion and community care.

Salary

Base: $110,594.35 - $165,891.53; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, retirement, PTO, life/disability insurance, tuition program, well-being benefits

Skills & Requirements

Must-have

  • Prior authorization review
  • Coverage determinations
  • Consult with Medical Directors
  • Communicate with members and providers
  • Adherence to regulatory timeframes

Nice-to-have

  • Quality assurance
  • Liaison between departments
  • Team collaboration

Key Requirements

  • Pharmacy prior authorization criteria
  • Regulatory and accreditation requirements

Work Rights

Not specified

Tailored Resume

Cover Letter