Clinical pharmacist

Prime Therapeutics
Wyoming, MI

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Clinical Pharmacist (Algo)- REMOTE

Job Description

Maintains the inventory of clinical algorithms. Responsible for coordinating the timing of implementation(s), revisions, revision quality, documentation of changes, and coordinating with IT on release. Creates new and updates existing clinical algorithms based upon relevant source data (e.g. clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners. Complies with all standard operating procedures, policies, guidelines, and work instructions.

Responsibilities

  • Collaborates with other clinical personnel in the development and maintenance of clinical algorithms.

  • Participates in and supports the clinical committees (e.g. DPD, TAC, P&T, VAC, etc.) as applicable.

  • Creates customized Client clinical algorithms and coordinates their release with IT. Maintains a comprehensive inventory of all clinical algorithms, history of revisions, and rationale regarding algorithm management criteria.

  • Collaborates with Account Management as well as the Implementation, Clinical, and Strategy teams regarding new Client implementations as well as expansions to existing business; including clinical projects as determined by business needs.

  • Collaborating with Clinical Operations, IT, Quality, and Compliance as needed for program support.

  • Client support, including but not limited to, responding to inquiries, customization of clinical algorithms, education, QBR support, clinical meetings, audit assistance, special projects, etc.

  • Supports clinical policy development and maintenance as determined by business needs.

  • Supports program development (e.g., Enhanced Oncology Value, Regimens) and improvement efforts based upon business needs

  • Other duties as assigned.

Minimum Qualifications

  • Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree

  • 1 years of pharmacy, managed care and/or pharmaceutical industry experience

  • Current pharmacist license in good standing with the State Board of Pharmacy in the State where the position is located.

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Strong interpersonal, consultation, organizational, tracking and follow-up skills.

  • Excellent verbal and written communication skills.

  • Ability to collaborate and work well as a team.

  • Data review and interpretation skills required.

Preferred Qualifications

  • Managed care experience (Health Plan or PBM)

  • Oncology experience

  • Board or Specialty certification

  • Decision support tool experience (e.g., order sets)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $108,000.00 - $184,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. ?? ?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

Posted 2025-10-06

Recommended Jobs

Plant Manager

Clare, MI

Plant Manager  Salary : $125,000- $150,000 + Quarterly Bonuses [ 10% -20%]+ 12 %  401K Share Plant Manager Full Time Clare, Mi.  JOB SUMMARY: The Plant Manager is responsible for oversee…

View Details
Posted 2025-10-06

Related group clinical validation auditor

Elevance Health
Dearborn, MI

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required inpers…

View Details
Posted 2025-10-06

Customer Service Rep - 5410 Yellowstone Rd

Domino's Franchise
Wyoming, MI

Job Description General Job Duties involve operation of all equipment;5410 Yellowstone Rd. Cheyenne, WY 82009 stock and rotate ingredients from delivery to storage/work area/walk-in cooler; pre…

View Details
Posted 2025-09-21

Internal auditor

Northern Waters Casino Resort
Watersmeet, MI

Internal Auditor Watersmeet, Michigan Casino Hourly Apply Now (Careers.cfm?Mode=Apply&FCJobID=40) Position Summary: POSITION: Internal Auditor DEPARTMENT: PEFC/Gaming L…

View Details
Posted 2025-10-06

Director learning and design

Oracle
Lansing, MI

Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-…

View Details
Posted 2025-10-06

Customer service representative - work home

Lensa
Lansing, MI

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of …

View Details
Posted 2025-10-06

Elementary teacher /Elementary assistant

MACOMB CHILDRENS ACADEMY INC
Troy, MI

Job Description Job Description We are looking for a Montessori Elementary teacher or an assistant teacher.

View Details
Posted 2025-07-26

Come grow with us! Hearing Care Provider for new center...

WSA Americas
Waterford, MI

WSAudiology is a global leader in the hearing aid industry. Together with our 12,000 colleagues in 130 countries, we invite you to help unlock human potential by bringing back hearing for millions of…

View Details
Posted 2025-09-30

Physician Cardiothoracic & Vascular Anesthesiologist West Michigan

Corewell Health
Grand Rapids, MI

Are you a skilled and compassionate cardiac anesthesiologist looking for an exciting opportunity? Join a top-tier anesthesiology team in a leading cardiovascular center, nestled within a hidden gem c…

View Details
Posted 2025-09-30

General Employment Application

Vibrus Group
Michigan

Vibrus group is currently seeking EXPERIENCED Housekeepers to work in in medical facilities throughout metro Detroit. .  Janitors are generally responsible for the overall maintenance of areas inc…

View Details
Posted 2025-09-17