Clinical Pharmacist at Oscar Health

You are a licensed pharmacist with a Doctor of Pharmacy degree and at least three years of professional experience. You possess an active, unrestricted license

Work type: remote

Location: Remote

Salary: $111,780 – $146,711/yr

Type: Full-time

Summary

You are a licensed pharmacist with a Doctor of Pharmacy degree and at least three years of professional experience. You possess an active, unrestricted license and are prepared to maintain compliance across multiple state jurisdictions. **What makes it worth a look...** Oscar Health is offering a fully remote Clinical Pharmacist position with a base salary ranging from $111,780 to $146,711 per year. The package includes an unlimited vacation program and eligibility for annual performance bonuses while working from home in one of their 30 approved states. **You might be a good fit if you...** * Have over three years of experience as a licensed pharmacist. * Possess an active, unrestricted pharmacist license. * Hold a Doctor of Pharmacy (PharmD) degree. * Can conduct peer-to-peer clinical rationale calls with prescribers.

Job Description

Hi, we're Oscar. We're hiring a Clinical Pharmacist to join our Pharmacy team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

This role serves as a reviewer of prior authorizations.

You will report into the Clinical Pharmacist Supervisor.

Work Location:This is a remote position, open to candidates who reside in: Alabama; Arizona; Arkansas; Colorado; Connecticut; District of Columbia; Florida; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; North Carolina; Ohio; Oregon; Pennsylvania; Rhode Island; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency:The base pay for this role is: $111,780 - $146,711 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs

• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations

• Participate in clinical quality audits and inter-rater reliability testing

• Provide internal team support for escalations and questions

• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers.

• Compliance with all applicable laws and regulations

• Other duties as assigned

• 3+ years of experience as a licensed pharmacist

• Active, unrestricted pharmacist license

• Doctor of Pharmacy Degree

• Willingness to obtain licensure/training with new states, as needed

• 3+ years of experience performing clinical review in a managed care setting and experience writing clinical criteria

• Strong clinical skills and experience applying clinical criteria in clinical review setting

• Board Certification (i.e. BCPS, BCOP)

• Residency training

• Experience practicing pharmacy in a clinical setting (i.e. retail, hospital, specialty, etc.)

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

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