Job summary
Job post source
This job is directly from CareOregon
Job overview
The Pharmacy Clinical Coordinator (Prior Authorization) at CareOregon manages pharmacy benefits and develops clinical and educational interventions to improve pharmaceutical use and prescribing patterns.
Responsibilities and impact
The role involves formulary management, reviewing medication prior authorization requests, conducting drug utilization reviews, developing educational and quality improvement programs, and collaborating with clinicians and pharmacists to optimize pharmacy benefit processes.
Compensation and benefits
The position offers an estimated salary range of $151,965 to $185,735 per year, a 5% bonus target, and full benefits.
Experience and skills
Candidates must have graduated from an accredited pharmacy program, hold an unrestricted pharmacist license in Oregon, and have advanced pharmacy training such as a PharmD or residency; practical clinical pharmacy experience is required, with managed care experience preferred.
Work environment and culture
CareOregon fosters a culture of equity, diversity, inclusion, open-mindedness, cultural awareness, compassion, and respect, supporting a diverse and inclusive work environment.
Company information
CareOregon is a healthcare organization focused on pharmacy benefit management and clinical pharmacy services, committed to equity and diversity in its workforce.
Job location and travel
This is a fully remote position for candidates residing in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.
Unique job features
The job features remote work, involvement in multidisciplinary case management, and responsibility for both clinical and administrative pharmacy functions including prior authorization and formulary management.
Company overview
CareOregon is a nonprofit organization that provides health insurance services primarily to low-income individuals and families in Oregon through Medicaid and Medicare programs. Established in 1994, CareOregon partners with local health providers to offer comprehensive care, focusing on preventive services and community health initiatives. The company generates revenue through government contracts and reimbursements for managing care for its members. Key historical milestones include its role in the creation of the Oregon Health Plan and its ongoing efforts to address social determinants of health.
How to land this job
Tailor your resume to highlight your clinical pharmacy expertise, especially in formulary management, medication therapy management, and prior authorization processes as outlined by CareOregon's Pharmacy Clinical Coordinator role.
Emphasize your experience with evidence-based drug reviews, quality improvement programs, and ability to prepare and analyze drug utilization reports, showcasing skills that align with the job's essential responsibilities.
Apply through multiple platforms including CareOregon's official careers page and LinkedIn to maximize your visibility and chances of being noticed for this remote position.
Connect with current CareOregon pharmacy team members or those in managed care divisions on LinkedIn; initiate conversations by referencing CareOregon’s commitment to diversity or asking about their experiences managing pharmacy benefits in a remote setting.
Optimize your resume for ATS by incorporating keywords such as 'formulary management,' 'medication therapy management,' 'prior authorization,' 'drug utilization review,' and 'quality improvement' to ensure it passes initial automated screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application channels, and find relevant CareOregon contacts on LinkedIn, freeing up your time to prepare for interviews and refine your candidacy.
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