Share This Page
Explore the Possibilities
and Advance with Us.

When you join the UMass Chan Medical School team, you join us in advancing together to improve the health and well-being of our diverse communities throughout Massachusetts and across the US and the world. Together, we lead in education, research, health care delivery, and public service. Your life’s work is more than a career. It’s an expression of your passion, intellect, skill, and drive. UMass Chan's commitment to excellence, innovation, competitive benefits, and work-life integration will allow you to build a professionally rewarding career as we work together to better or improve the health of people around the globe.

Apply
Refer a Friend
Back
Consultant Pharmacist II - REMOTE (12:30-9pm)
Job Number: 2025-47606
Category: Healthcare
Location: Shrewsbury, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: ForHealth Consulting
Department: ForHealth Consulting - Pharmacy - W401453
Job Type: Full-Time
Num. Openings: 1
Post Date: Jan. 28, 2025

POSITION SUMMARY:

Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist II functions as a team member of the drug utilization review programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client members drug therapy. This position handles live calls from physicians and pharmacists to review appropriate drug therapy and determine approval or denial of these real time prescriptions with increasing independence. The incumbent of this position will also review requests for prior authorization and determine approval or denial of these requests.  The Consultant Pharmacist II serves as a resource for Consultant Pharmacist I staff.

ESSENTIAL FUNCTIONS:

  • Participates in orientation and training of Consultant Pharmacist I staff.
  • Reviews clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance with increasing independence.
  • Decides in real time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
  • Provides pharmaceutical expertise and knowledge to advisory boards clinical workgroups.
  • Monitors over-utilization and under-utilization of prescribed medicines for members.
  • Assists in monitoring and researching profiles for compliance on a daily basis.
  • Refers suspected abuse and fraudulent members to program management or designee for case review.
  • Participates in site visits to client offices, as necessary.
  • Participates in quality improvement and quality assurance initiatives.
  • Perform other duties as required.

REQUIRED QUALIFICATIONS

  • Bachelor of Science degree in Pharmacy with 2 years of pharmacy-related work experience OR
    • Doctor of Pharmacy degree with 1 year of pharmacy-related work experience OR
    • Doctor of Pharmacy Degree with completion of 1 year of pharmacy residency
  • Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts
  • Ability to travel to off-site locations.

Posting Disclaimer:
This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.
In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.
Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role.
In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.
UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.

Apply