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Clinical Grievance Pharmacist

Company: VirtualVocations
Location: Provo
Posted on: April 5, 2025

Job Description:

A company is looking for a Clinical Grievance and Appeals Pharmacist.
Key Responsibilities

Support and input to clinical programs including Health Management and Drug Utilization Review
Perform quality reviews of Prior Authorization forms and monitor the Appeals and Grievance process
Provide clinical expertise for formulary decisions and contribute to the management of grievance and appeal resources

Required Qualifications

Bachelor's degree in Pharmacy or Pharm D
Current unrestricted licensure as an RPh or ability to gain reciprocity within 4 months
Minimum two years of clinical experience or clinical/managed care pharmacy practice residency preferred
Knowledge of PBM industry and proficiency in drug literature evaluation preferred
Proficiency in MS Word, Excel, and PowerPoint preferred

Keywords: VirtualVocations, Sandy , Clinical Grievance Pharmacist, Healthcare , Provo, Utah

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