Illinois Licensed Clinical Pharmacist

Job Summary

A company is looking for a Clinical Coding Pharmacist - Remote.

Key Responsibilities:

• Provide consultative guidance for formulary changes in RxClaim and RxBuilder
• Conduct 2nd Level Formulary/UM Claim Research and support global coding changes
• Analyze data, perform quality audits, and prepare management summaries related to program compliance and performance

Required Qualifications:

• Current and unrestricted pharmacist licensure
• 3+ years of experience as a clinical pharmacist
• Intermediate to advanced Microsoft Excel skills
• Experience in claims/coding research and analysis
• Experience working within a PBM and in RX Claim or other claims adjudication systems