Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 25 years.
Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest.
Role 1 – Sr. Clinical Advisor
Long term contract
Remote
The Sr. Clinical Advisor provides pharmacist-level support to internal teams and customers in the development, maintenance, and administration of clinical pharmacy programs, formulary management activities, utilization management criteria, and related clinicalpharmacy services. This role supports cross-functional groups, including Information Technology, Client Services, Pharmacy Benefits, Operational Support, Product/Development, and Drug Utilization Review, to ensure clinical pharmacy programs and operational processes are accurate, compliant, and aligned with business needs.
The position requires strong knowledge of prescription drugs, managed care, Medicare Part D, formulary management, utilization management, and healthcare industry standards. The Sr. Clinical Advisor is responsible for reviewing drug information, evaluatingclinical and regulatory updates, supporting formulary and utilization of management decisions, and assessing the operational impact of changes to products, services, and customers.
Key responsibilities include:
- Formulary management and utilization management support
- CMS Part D formulary review, validation, and submission support
- FDB and drug database review and validation
- Drug information review and clinical analysis
- Prior authorization, step therapy, and quantity limit support
- Cross-functional collaboration with Clinical Services, IT, Operations, and Product teams
- Client implementation and platform migration support
- Clinical documentation, training, and issue resolution activities
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