Clinical Pharmacist IV - Regulatory

The Clinical Pharmacist – Regulatory is responsible for supporting Pharmacy department oversight for state and federal clinical requirements and compliance. Oversight is supported through reporting, requirements review and interpretation, and audit activities. This position also provides oversight of delegated clinical activities for pharmacy and medical pharmacy reviews.

Additional responsibilities include performing internal clinical reviews, both initial and appeals, for select Medicare, Medicaid and Commercial/IFB cases. This role will require collaboration with other departments, regulators, and other external parties to ensure regulatory compliance for pharmacy services. Performs other duties as assigned.