Job Summary
A company is looking for a Clinical Coding Pharmacist.
Key Responsibilities:
- Provide consultative guidance for formulary changes and conduct claims research
- Support program implementation and compliance monitoring related to clinical coding
- Analyze data and prepare management summaries on performance and audit results
Required Qualifications:
- Current and unrestricted pharmacist licensure
- 3+ years of experience as a clinical pharmacist
- Intermediate to advanced Microsoft Excel skills
- Experience conducting claims and coding research and analysis
- Experience working within a PBM and knowledge of claims adjudication systems
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