Manage and resolve rejected pharmacy claims to ensure maximum payer reimbursement and timely billing. Research and analyze claims by coordinating with Medicare D, third-party insurance, and state Medicaid plans.
PharMerica
5 Remote Job Openings at PharMerica
The Pharmacist Consultant evaluates physician medication orders for appropriateness and reviews resident drug regimens monthly to optimize therapy. They provide clinical support to facilities to ensure regulatory compliance and reduce drug spend.
Lead business development and customer acquisition strategies within the Assisted Living market to drive revenue growth. Collaborate with cross-functional teams to implement growth initiatives and manage the transition of new clients.
The pharmacist is responsible for the remote verification of medication orders and providing clinical recommendations to healthcare staff. They also oversee medication use, monitor controlled substances, and ensure compliance with state and federal regulatory standards.
The Consultant Pharmacist evaluates physician medication orders for appropriateness, including drug, dosage, interactions, and stability, making recommendations for therapy changes to physicians and facility staff. They must review the drug regimen and clinical indicators of assigned residents monthly, reporting irregularities in writing to relevant staff and maintaining knowledge of pharmacy laws and long-term care regulations.
