PBM Implementation Pharmacist- Remote (Any city, IL, US, 99999)
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary The PBM Implementation Pharmacist reports to the Director of Clinical Operations and leads the clinical setup of new Pharmacy Benefit Management (PBM) accounts from both system and functional perspectives. This role serves as the subject matter expert for pharmacy services, including benefit plan drug coverage, edit configuration, prospective and retrospective drug utilization review (DUR), prior authorization (PA) criteria and