Talent.com
Alignment Healthcare
Clinical PharmacistAlignment Healthcare • Orange, CA
Clinical Pharmacist

Clinical Pharmacist

Alignment Healthcare • Orange, CA
30+ days ago
Salary
$130,000.00–$135,200.00 yearly
Job type
  • Full-time
  • Remote
Job description
Job Number6809Workplace Type:Fully RemoteRemote-US,California

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

Position Description:

  • Review Part D coverage determination and appeal requests, making clinical decisions based on formulary benefits, guidelines, and CMS requirements.
  • Perform computer-based tasks and make phone calls to providers when clinical information is needed.
  • Consult with physicians and providers on questions and interpretations of clinical guideline criteria and coverage determinations.
  • May conduct comprehensive medication reviews over the phone for members enrolled in the Medication Therapy Management program
  • May participate in pharmacy quality initiatives and perform the Care for Older Adults Medication Review (COA-MDR).
  • Support various Pharmacy Department operations, programs, and initiatives as needed.
  • Perform other related duties and projects as assigned.
  • Maintain productive working relationships with team members, internal and external customers, and management.

Requirements:

  • BS in Pharmacy or Pharm D degree
  • Pharmacist license in good standing.
  • Minimum of 1 year of experience in a health plan and/or PBM.
  • Previous work experience with Medicare Part D.
  • Previous experience in CDAG (coverage determinations, appeals, and grievances).
  • Previous work experience in Medication Therapy Management preferred
  • Ability to work an 8-hour shift within the hours of 8:00am to 9:00pm Monday - Friday, including Saturdays (7:00am - 6:00pm) by rotation.
  • Intermediate or higher proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.
  • Ability to work independently as well as part of a team.

Pay Range: $130,000 - $135,200 annually.

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at #/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@.

Create a job alert for this search

Clinical Pharmacist • Orange, CA

Similar jobs

RN Clinical Supervisor - Wilmington Clinic

Martin Luther King, Jr. Community HospitalWhittier, CA, United States
Full-time

If you are interested, please apply online and send your resume to Marismartinez@mlkch.Reporting to the Director, Ambulatory Services of the Martin Luther King, Jr.Los Angeles (MLK-LA) Healthcare C... Show more

 • Promoted

Hospitalist Locums Need in CA

HealthEcareers - ClientOrange, CA, USA
Full-time

Number of Shifts Needed per Month:.Must be experienced in high acuity setting.Estimated Privileging Timeline:.About All-Star Healthcare Solutions Benefits.Dedicated, specialty-specific consultants.... Show more

 • Promoted

Clinical Administrative Coordinator

Satellite HealthcareOrange, CA, United States
Full-time

Clinical Administrative Coordinator.The Clinical Administrative Coordinator provides a safe and professional environment when patients first enter our centers, where they are greeted and assisted i... Show more

 • Promoted

Intracept Clinical Specialist - Anaheim/Corona, CA

Boston Scientific GruppeHuntington Beach, California, United States
Full-time

Intracept Clinical Specialist - Anaheim/Corona, CA Work mode: Field Based Territory: United States Additional Location(s): N/A Diversity - Innovation - Caring - Global Collaboration - Winning Sp... Show more

 • Promoted

Clinical Pharmacist

Rx reliefAlhambra, CA, United States
Full-time

Schedule: Shift Varies, Monday - Saturday 8am - 8pm | Day, Swing.Great Benefits Including Medical, Dental, Vision, 401K & More….Rx Relief is a leader in Pharmacy recruiting and is looking for a.Rx ... Show more

 • Promoted

Oncology Pharmacist

SoliantAnaheim, CA, United States
Full-time

Soliant is hiring an Oncology Pharmacy Specialist for a health system in Southern California.In this role, the Oncology Pharmacy Specialist will work in an Oncology Clinic setting.The Oncology Phar... Show more

 • Promoted

Travel Pharmacist - $3,320 per week in Brea, CA

AlliedTravelCareersBrea, CA, US
Full-time

AlliedTravelCareers is working with OneStaff Medical to find a qualified Pharmacist in Brea, California, 92821!.An independently-owned, nationally-recognized and amazingly awesome staffing firm rea... Show more

 • Promoted

Licensed Clinical Psychologist - LCP

Rula HealthPasadena, CA, United States
Full-time

At Rula, our mission is simple: .We partner with a nationwide network of licensed clinicians committed to delivering compassionate, effective care for individuals, couples, and families.We make thi... Show more

 • Promoted

Senior Pharmacy Program Specialist

ProvidenceOrange, US
$31.43 hourly
Full-time

Performs duties to facilitate the filling and dispensing of unit dose, IV and stock medications as it relates to the automated dispensing machines (ADM) and CII Safe, automation vendors (e.Ensures ... Show more

 • Promoted

Ophthalmologist/Corneal Full Time Opportunity ($100,000 Sign on Bonus)

Kaiser Permanente – Southern California Permanente Medical GroupOrange, CA, United States
Full-time +1

Potential Premium Earnings : $29,772.Salary range includes incentives that are contingent upon skills, competencies, longevity, experience and geographic location.The earnings included in the salar... Show more

 • Promoted

Travel Pharmacist - $4550 / Week

LancesoftSanta Ana, CA, US
$455.00 weekly
Full-time

Lancesoft is seeking an experienced Pharmacist for an exciting Travel Allied job in Los Angeles, CA.Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $4550 / Week.Position / Specialty Cli... Show more

 • Promoted

Remote Physician Advisor - Psychiatry (California)

Stealth Healthtech StartupAnaheim, CA, United States
Remote
Full-time

We're a growing digital health group focused on making high-quality healthcare more accessible and more personal.Across multiple states, we care for patients through a thoughtfully designed model t... Show more

 • Promoted

Pharmacist

TradeJobsWorkForce92711 Santa Ana, CA, US
Full-time

Compounding and dispensing medications, as prescribed by physicians.Monitoring customers’ drug therapies, advising interventions, and informing customers of any potential side effects.Instructing c... Show more

 • Promoted

Physical Therapist & Lead Clinician, Post-Acute Care

Heritage Manor CareParamount, California, United States
Full-time

Heritage Manor Care in Paramount, California is looking for a passionate Physical Therapist to join our team.The role involves directing and supervising therapist assistants, developing treatment p... Show more

 • Promoted

Oncology Clinical Pharmacist: Care, Compliance & Impact

JobRx, Inc.Whittier, California, United States
Full-time

Clinical Pharmacist - Oncology Specialist in Whittier, California.This role requires a PharmD and California registration, along with a minimum of two years of hospital experience in oncology.Respo... Show more

 • Promoted

Locum Physician (MD/DO) - Hospitalist - $85 to $105 per hour in Orange, CA

LocumJobsOnlineOrange, CA, US
$85.00 hourly
Full-time

Doctor of Medicine | Hospitalist.LocumJobsOnline is working with Aya Locums to find a qualified Hospitalist MD in Orange, California, 92856!.Aya Locums has an immediate opening for a locum Hospital... Show more

 • Promoted

Clinical Supervisor/ BCBA

AB Staffing SolutionsAnaheim, California, United States
Full-time +1

Clinical Supervisor (School-Based ABA).K-12 Public School Campuses for the 2026/2027 School Year.Club Xcite is a school-based behavioral services organization dedicated to supporting students with ... Show more

 • Promoted

Clinical Shift Manager

Air Combat Effectiveness Consulting Group, LLCAnaheim, California, United States
Full-time

Overview This position is a first line management position.The incumbent has 12-hour responsibility for the coordination of care for patients and families.In conjunction with the area’s Operations... Show more

 • Promoted

DMH Clinician

HELPLINE YOUTH COUNSELINGNorwalk, California, United States
Full-time

Helpline Youth Counseling (HYC), a nonprofit agency located in Norwalk, has been providing youth services in Southeast Los Angeles County since 1971 with a primary purpose of providing therapeutic ... Show more

 • Promoted

Chief Medical Officer, Psychiatry — Clinical & Growth Leader

Ami NetworkCosta Mesa, California, United States
Full-time

A leading psychiatric practice in Orange County is seeking a Chief Medical Officer (Psychiatrist) to provide clinical oversight and operational leadership.You will manage providers' productivity, e... Show more