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Clinical Pharmacist

Date:  Apr 13, 2024

Any city, OH, US, 99999

Req ID:  21104

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 



As a Clinical Pharmacist at Gainwell Technologies, you'll play a crucial role in advancing Prospective and Retrospective Drug Utilization Review (DUR) efforts. Responsibilities include analyzing physician prescribing patterns, consulting on specialty medications, collaborating with internal teams, and facilitating program implementation for client organizations. This role requires coordination with various departments and contributions to the development of medical pharmacy solutions programs, including PA criteria development and committee meetings. 


Your role in our mission

  • Evaluate drug and drug class reviews based on sound evidence-based research and processes widely accepted by the medical profession.
  • Ensuring evidence summaries inform the recommendations for management of the preferred drug list (PDL) and clinical prior authorization (PA) criteria. Using appropriate methods that support the principles of high-quality evidence-based medicine.  
  • Develop clinical PA criteria recommendations and documents to present to P&T and/or DUR Board.
  • Providing a thorough review of the clinical and pricing data to assist the P&T Committee or DUR Board in reviewing the Gainwell clinical criteria and PDL recommendations in order to make coverage and PDL placement decisions.
  • Regularly reviews and monitors prescription claims data and prescribing practices identified as outliers by internal and/or external analysis of pharmacy claims data to develop relevantRetrospective DUR initiatives.  
  • Present initiatives to the P&T or DUR Board including methods, interventions, communication, and outcomes.
  • Contacts physicians and prescribers identified as needing consultation to provide coaching on prescribing practices that have been identified as outliers.  
  • Review prior authorizations and determine opportunities for interventions.
  • Tracks contact attempts and contacts per operations procedures.  
  • Documents content of and results of consultations as defined in operations procedures; maintains records as required.
  • Collaborates on the refinement of consultation scripting; solicits and utilizes input from those contacted toward scripting improvements.
  • Contributes to the success of the operations of the pharmacy program by assisting with the implementation and management of both written and verbal communications to physicians and prescribers and maintenance of the edits and data elements that support the edits. Is available for consultation on pharmacy-related questions and issues for others within the organization (e.g. health coaches, care managers, etc.). Updates and maintains program engine, coding, consultation sheets, and outreach program as needed.
  • Contributes to program improvements by using continuous quality improvement processes, by being proactive in identifying improvement opportunities and, by contributing on-going consultation and collaboration with product leaders.
  • Upholds clinical integrity of pharmaceutical solutions by staying up to date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors, Medical Dept, and Clinical Dept and, providing pharmacy expertise within the organization.
  • Contribute solutions to improve operational efficiency and effectiveness of the pharmacy team.

What we're looking for

  • Management experience in the coordination of and collaboration of work teams preferred.
  • 5 years' experience in clinical pharmacy
  • Ability to perform clinical reviews using relevant compendia and clinical trial data
  • Managed care pharmaceutical service experience plus experience with coaching physicians and prescribers on medication issues, especially on specialty medications.
  • Knowledge of current research related to specialty medications
  • Strong research and implementation skills in practical settings.
  • Analytical skills which can translate into practical and pragmatic recommendations.
  • Strong team orientation with respect for all members.Strong verbal and written communications skills.
  • People skills are essential that allow for the successful consultation with physicians, prescribers and pharmacists and for successful collaboration with company employees and external vendors who do not directly report to this job.
  • Must be comfortable with using computers and the internet; basic skills with Microsoft office products and ability to quickly learn proprietary systems.

What you should expect in this role

  • Work from home 
  • Eastern, 9a - 5pm


The pay range for this position is $108,500.00 - $155,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.


We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.


Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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