{"id":24124,"date":"2026-06-03T17:42:27","date_gmt":"2026-06-03T17:42:27","guid":{"rendered":"https:\/\/www.monmouth.edu\/career-development\/job\/as-needed-clinical-pharmacist\/"},"modified":"2026-06-30T08:30:58","modified_gmt":"2026-06-30T12:30:58","slug":"as-needed-clinical-pharmacist","status":"publish","type":"ch_job","link":"https:\/\/www.monmouth.edu\/career-development\/job\/as-needed-clinical-pharmacist\/","title":{"rendered":"(As-Needed) Clinical Pharmacist"},"content":{"rendered":"

(As-Needed) Clinical Pharmacist<\/strong><\/p>\n

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CalOptima<\/strong><\/p>\n

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Position Information:<\/strong><\/p>\n

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\u2022 Department: Pharmacy Management<\/strong><\/p>\n

\u2022 Salary Grade: 316 – $120,881 – $193,410 ($58.12 – $92.9856)<\/strong><\/p>\n

\u2022 Work Arrangement: Full Telework<\/strong><\/p>\n

\u2022 Work Schedule: 16 hours per week<\/strong><\/p>\n

\u2022 Expected Assignment Duration: Until September 30, 2026 (subject to change)<\/strong><\/p>\n

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Submission Information:<\/strong><\/p>\n

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\u2022 The deadline to be guaranteed full review of your submission is due by June 9, 2026<\/strong> by 9:00 p.m. PST<\/strong>. This position will remain open for a minimum of seven (7) days, but may be extended if a lack of qualified applicants are received or if we are hiring multiple positions.<\/p>\n

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Duties & Responsibilities:<\/strong><\/p>\n

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\u2022 95%% – Pharmacy Management<\/p>\n

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\u2022 Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.<\/p>\n

\u2022 Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals\/priorities for the department.<\/p>\n

\u2022 Generates and analyzes claims and utilization reports to track general trends in drug utilization and to identify potential targeted utilization management activities.<\/p>\n

\u2022 Develops and updates drug utilization criteria.<\/p>\n

\u2022 Develops and maintains contacts and relationships with providers key to successful interaction and intervention activities.<\/p>\n

\u2022 Participates in medication review, disease state management and other clinical quality improvement programs such as Stars and Healthcare Effectiveness Data and Information Set (HEDIS) Quality Improvement Programs, Medication Therapy Management (MTM), interdisciplinary care teams and PACE.<\/p>\n

\u2022 Assists the Pharmacy Director and the Manager of Clinical Pharmacists in the preparation of drug monographs and utilization reports for the Pharmacy and Therapeutics committee.<\/p>\n

\u2022 Utilizes clinical and regulatory guidelines in the review of drug prior authorization and appeals requests.<\/p>\n

\u2022 Adheres to regulatory compliance and quality guidelines as well as CalOptima Health’s policies and procedures.<\/p>\n

\u2022 Updates CalOptima Health’s pharmacy policies and develops new policies and procedures when needed.<\/p>\n

\u2022 Works with management to recommend, develop and implement target drug utilization intervention programs and other Drug Utilization Review\/Drug Utilization Evaluation (DUR\/DUE) activities.<\/p>\n

\u2022 Works with the Manager of Clinical Pharmacists and within Medical Management (e.g., with data manager, case managers, etc.) on various data integration, disease management and outcomes projects.<\/p>\n

\u2022 Reviews members’ medication profiles and makes recommendations to health care providers based on evidence-based medicine and national guidelines for disease management as part of CalOptima Health’s polypharmacy program.<\/p>\n

\u2022 Serves as the plan representative for state fair hearings.<\/p>\n

\u2022 Resolves complaints, grievances and appeals.<\/p>\n

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\u2022 5%% – Other<\/p>\n

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\u2022 Completes other duties and projects as assigned.<\/p>\n

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Minimum Qualifications:<\/strong><\/p>\n

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\u2022 Doctor of Pharmacy degree PLUS current knowledge and expertise in clinical pharmacology and disease states required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.<\/p>\n

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Preferred Qualifications:<\/strong><\/p>\n

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\u2022 Experience in pharmacy practice or residency in pharmacy practice.<\/p>\n

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\u2022 Centers for Medicare & Medicaid Services (CMS), Department of HealthCare Services (DHCS), Department of Managed Health Care (DMHC) and\/or National Committee for Quality Assurance (NCQA) audit experience.<\/p>\n

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\u2022 Bilingual in English and in one of CalOptima Health’s defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).<\/p>\n

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Required Licensure \/ Certifications:<\/strong><\/p>\n

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\u2022 A current, valid and unrestricted California state registered pharmacist license required.<\/p>\n

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Knowledge & Abilities:<\/strong><\/p>\n

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\u2022 Develop rapport and establish and maintain effective working relationships with CalOptima Health’s leadership and staff and external contacts at all levels and with diverse backgrounds.<\/p>\n

\u2022 Work independently and exercise sound judgment.<\/p>\n

\u2022 Communicate clearly and concisely, both orally and in writing.<\/p>\n

\u2022 Work a flexible schedule; available to participate in evening and weekend events.<\/p>\n

\u2022 Organize, be analytical, problem-solve and possess project management skills.<\/p>\n

\u2022 Work in a fast-paced environment and in an efficient manner.<\/p>\n

\u2022 Manage multiple projects and identify opportunities for internal and external collaboration.<\/p>\n

\u2022 Motivate and lead multi-program teams and external committees\/coalitions.<\/p>\n

\u2022 Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications\/systems to produce correspondence, charts, spreadsheets, and\/or other information applicable to the position assignment.<\/p>\n

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Physical Requirements (With or Without Accommodations):<\/strong><\/p>\n

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\u2022 Ability to visually read information from computer screens, forms and other printed materials and information.<\/p>\n

\u2022 Ability to speak (enunciate) clearly in conversation and general communication.<\/p>\n

\u2022 Hearing ability for verbal communication\/conversation\/responses via telephone, telephone systems, and face-to-face interactions.<\/p>\n

\u2022 Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.<\/p>\n

\u2022 Lifting and moving objects, patients and\/or equipment 10 to 25 pounds<\/p>\n

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Work Environment:<\/strong><\/p>\n

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If located at the 500, 505 Building or a remote work location:<\/p>\n

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\u2022 Work is typically indoors and sedentary and is subject to schedule changes and\/or variable work hours, with travel as needed.<\/p>\n

\u2022 There are no harmful environmental conditions present for this job.<\/p>\n

\u2022 The noise level in this work environment is usually moderate.<\/p>\n

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If located at PACE:<\/p>\n

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\u2022 Work is typically indoors in a clinical setting serving the frail and elderly.<\/p>\n

\u2022 There may be harmful or hazardous environmental conditions present for this job.<\/p>\n

\u2022 The noise level in this work environment is usually moderate to loud.<\/p>\n

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If located in the Community:<\/p>\n

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\u2022 Work is typically indoors and sedentary and is subject to schedule changes and\/or variable work hours, with travel as needed.<\/p>\n

\u2022 Employee will occasionally work outdoors in varied temperatures.<\/p>\n

\u2022 There may be harmful or hazardous environmental conditions present for this job.<\/p>\n

\u2022 The noise level in this work environment is usually moderate to loud.<\/p>\n

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CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion\/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.<\/strong><\/p>\n

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If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.<\/strong><\/p>\n

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To apply, please visit: https:\/\/apptrkr.com\/7208054<\/strong><\/p>\n

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Copyright \u00a92025 Jobelephant.com Inc. All rights reserved.<\/p>\n

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