Pharmacist Clinical Retrospective Case

JOB REQUIREMENTS: Pharmacist, Clinical Retrospective Case Mgmt -Archimedes Location US- ID 2025-5040 Category Archimedes Position TypeFull-Time Remote Yes Company Archimedes About Us Archimedes -Transforming the Specialty Drug Benefit - Archimedes is the industryleader in specialty drug management solutions. Founded with the goal oftransforming the PBM industry to provide the necessary ingredients forthe sustainability of the prescription drug benefit - alignment, valueand transparency - Archimedes achieves superior results for clients byeliminating tightly held PBM conflicts of interest including drugspread, rebate retention and pharmacy ownership and delivering the mostrigorous clinical management at the lowest net cost..______________________________________________________________________________________________________________________________________________________________________________________________________.Current associates must use SSO login option atto be considered for internalopportunities. Pay Range USD $0.00 - USD $0.00 /Yr. Work ScheduleDescription (e.g. M-F 8am to 5pm) Our Core Business Hours Overview ThePharmacist, Clinical Retrospective Case Management will be divided intotwo areas: external clinical outreach activities related to high-costcase management and prior authorization of specialty medications, acrosspharmacy and medical benefits and specialty and traditional drugs. Inaddition, this role will have the opportunity to evaluate the data toidentify actionable opportunities for specialty management and createclinical policies. The Pharmacist, Clinical Retrospective CaseManagement is responsible for being the clinical expert for allspecialty medications across both the pharmacy and the medical benefit.This role will be able to successfully communicate with physicians,nurses, pharmacists, and members related to high-cost case concerns,dose management, genetic testing, therapeutic substitutions and costmanagement related to specialty drugs. Clinical subject matter expert isrequired to conduct peer to peer consultations with physicians.Responsibilities How do I make an impact on my team? Review andinterpret client data to identify, develop, and manage high-costclinical interventions and casework. Evaluate clinical research andfinancial data to develop strategic medication management options andcoverage recommendations. Manage retrospective case requests incompliance with established clinical criteria. Assist in the developmentof clinical policies and pharmacy benefit management programs.Contribute to clinical program development for both medical and pharmacybenefits. Complete claims editing and audits to ensure accuracy and...For full info follow application link. Navitus Health Solutions is anEqual Opportunity Employer: Disabled/Veterans/Male/Female/Minority/Other APPLICATION INSTRUCTIONS: Apply Online:ipc.us/t/34E077DC53E04761

Created: 2025-11-06