Clinical Pharmacy Specialist
CurrentManage Security Health Plan's (SHP's) Commercial and Marketplace Formularies, SHP team liaison for Medical Pharmacy Management Programs (prior authorization (PA), post service claim edit, step therapy, enhanced oncology value, home infusion), Oversee successful Commercial MTM Program, Provide clinical PA reviews for pharmacy benefit, Serve on board for pharmacy drug policy creation and updating, SHP Pharmacy and Therapeutics Committee meeting presenter of new to market drugs, drug updates, and… Show more Manage Security Health Plan's (SHP's) Commercial and Marketplace Formularies, SHP team liaison for Medical Pharmacy Management Programs (prior authorization (PA), post service claim edit, step therapy, enhanced oncology value, home infusion), Oversee successful Commercial MTM Program, Provide clinical PA reviews for pharmacy benefit, Serve on board for pharmacy drug policy creation and updating, SHP Pharmacy and Therapeutics Committee meeting presenter of new to market drugs, drug updates, and policy updates, Provide appeal reviews for medical and pharmacy drug denials, Medical Policy and Procedures Committee presenter for new medical policy updates and drug strategy, Coordinate Medical Pharmacy Program management for SHP’s contracted business partners Show less