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Pharmacist, Consultant

Blue Shield of California • El Dorado Hills, CA, US • published 2026-09-22 23:43:00.293188

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Description

**Your Role** The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist\-Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P\&T) by ensuring that evidence based clinical decisions are implemented appropriately to provide a high\-quality and cost\-effective pharmacy benefit. The Pharmacist\- Consultant (Drug Utilization Review Pharmacist) will report to the Drug Utilization Review (DUR) Pharmacist Manager. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high\-performing teams, getting results the right way, and fostering continuous learning. **Your Work** In this role, you will: * Support the clinical and operational implementation of P\&T approved policies for the pharmacy benefit, for both the Commercial and Medicare lines of business * Apply cl...


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