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Consulting Pharmacist Regulatory Insurance

RSM US LLP. - New York City, NY

Job description Pharmacist Part-time, project-based, consulting work Position is work from home Risk & Regulatory Consulting, LLC Specific Duties and Responsibilities Ensure issuer compliance of market-wide requirements of Title XXVII of the PHSA such as prescription drug formularies Document in writing findings and reports of examinations, as needed. Requirements Must have 5-10 years of pharmacy experience, as a registered pharmacist in regulatory, behavioral health, retail, and\/or clinical Advanced degree as PharmD or Bachelors of Science in Pharmacy with informatics background;Previous experience with formulary medication systems development to support process improvement strategies; Effectively use information technology (IT) to analyze data in areas of evidence based medicine practices, outcomes measurements, and process improvements; Must be able to interact with multi-disciplinary team of experts in areas of IT, health insurance, pharmacy and policy; Must understand the fundamentals of pharmacy financial data and balancing clinical, regulatory, pharmaceutical industry and consumer access issues to formulary system development; Must be able to contribute decision support for system refinements pertinent to improving formulary review, optimizing review tools, and enhancing system performance. Claims processing experience in retail or managed care Must not currently be working with or have an affiliation with a managed care organization (MCO) which would create a conflict of interest Mental Health Parity experience\u00a0 Experience with managed care expenses Experience using Microsoft Office (Word, Excel, Access, PowerPoint, and Outlook). Effective written and oral communication skills. Must be able to meet tight deadlines and offer flexibility in hours Regulatory experience is a plus Strong writing skills Strong analytical abilities and attention to detail. Experience and ability to work both independently and within a team environment. Ability to adapt to changing priorities, self-motivated and energetic qualities desirable. Managed Care\/Pharmacy Benefit Management and pharmacy audit experience a plus. A combination of pharmaco-economic, drug information, clinical experience is highly desirable. Must be comfortable doing presentations and conduct phone calls with multiple team members. Travel as needed You want your next step to be the right one. You've worked hard to get where you are today. And now you're ready to use your unique skills, talents and personality to achieve great things. RSM is a place where you are valued as an individual, mentored as a future leader, and recognized for your accomplishments and potential. Working directly with clients, key decision makers and business owners across various industries and geographies, you'll move quickly along the learning curve and our clients will benefit from your fresh perspective. Experience RSM US. Experience the power of being understood. RSM is an equal opportunity\/affirmative action employer. Minorities\/Females\/Disabled\/Veterans.

7 days 16 hours ago



Consulting Pharmacist Regulatory Insurance RSM US LLP. - New York City, NY, United States


Location: New York City, NY

Company Profile:
RSM US LLP is a leading provider of audit, tax and consulting services focused on the middle market. We guide our clients through business challenges by understanding their needs and bringing together the right team to address them. With 8,000 professionals and associates in 80 cities nationwide and access to more than 38,300 people in 120 countries through our membership in RSM International, we can meet your needs wherever in the world you do business.