Note: The job is a remote job and is open to candidates in USA. Amtex Systems Inc is seeking a Senior Clinical Advisor who provides pharmacist-level support to internal teams and customers in the development and administration of clinical pharmacy programs. The role involves collaborating with various departments to ensure compliance and alignment with business needs while managing formulary and utilization management activities.
Responsibilities
- Formulary management and utilization management support
- CMS Part D formulary review, validation, and submission support
- FDB and drug database review and validation
- Drug information review and clinical analysis
- Prior authorization, step therapy, and quantity limit support
- Cross-functional collaboration with Clinical Services, IT, Operations, and Product teams
- Client implementation and platform migration support
- Clinical documentation, training, and issue resolution activities
Skills
- Strong knowledge of prescription drugs
- Knowledge of managed care
- Understanding of Medicare Part D
- Experience in formulary management
- Experience in utilization management
- Familiarity with healthcare industry standards
- Ability to review drug information
- Ability to evaluate clinical and regulatory updates
- Support for formulary and utilization management decisions
- Assessment of operational impact of changes to products, services, and customers
- Experience in CMS Part D formulary review, validation, and submission support
- Experience in FDB and drug database review and validation
- Experience in drug information review and clinical analysis
- Experience in prior authorization, step therapy, and quantity limit support
- Cross-functional collaboration skills with Clinical Services, IT, Operations, and Product teams
- Client implementation and platform migration support experience
- Experience in clinical documentation, training, and issue resolution activities
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