Pharmacist | Portland, Oregon

Join a dynamic remote opportunity as a Clinical Pharmacist Specialist (CPS) focused on managed care pharmacy services for members across Oregon, Washington, and California. This contract role offers the chance to apply your clinical expertise in a fast-paced, evolving healthcare environment, supporting evidence-based, cost-effective medication management.
Key Responsibilities:

• Provide direct patient care through Medication Therapy Management (MTM) programs.
• Collaborate with medical directors, nurse case managers, network physicians, and providers to coordinate and optimize care.
• Manage population-based disease and specialty pharmaceutical care coordination.
• Conduct drug utilization reviews and develop clinical policies, including participation in Pharmacy and Therapeutics (P&T) Committee.
• Review pharmacy and medical claims; educate members, caregivers, and healthcare teams.
• Develop medication-related problem lists and implement medication action plans with provider interventions.
• Participate in medical policy development to promote safe, quality, and cost-effective medication use.
• Communicate therapeutic recommendations tactfully and effectively to healthcare providers.
• Maintain personal accountability for ongoing professional development in clinical pharmacy.

Qualifications & Desired Experience:

• Active pharmacist license in OR, WA, or CA required.
• Minimum 3 years' experience in a managed care environment, including prior authorizations, audits, appeals, and ALJ court hearings.
• Proficiency in navigating complex pharmacy and healthcare systems.
• Excellent communication and clinical decision-making skills.
• Ability to prioritize tasks in a fast-paced, constantly changing setting.
• Willingness to work rare weekends a few times per year.

Schedule:

• Monday through Friday
• Rare weekends, few times per year

This role supports remote work flexibility with a focus on enhancing care quality and optimizing health outcomes while effectively managing costs. If you possess a strong managed care pharmacy background and thrive in collaborative clinical settings, consider applying now to contribute to innovative healthcare delivery.
Take the next step in your pharmacy career-submit your application today.