Job Listing
Clinical Pharmacist - Formulary Authorization
Veterans Health Administration · Posted 4 days ago
About the Role
Clinical Pharmacist reviews medication requests that require prior authorization, ensuring they meet formulary, safety, and clinical criteria. They evaluate restricted or high-cost drug requests, verify guideline compliance through chart review, identify safer or more cost-effective alternatives, and work directly with providers to approve, deny, or recommend appropriate options.
What You'll Do
- →Conducts critical review of all Prior Authorization Drug Requests (PADRs) for the medical center.
- →Monitors daily PADR volume and timing, coordinating with supervisors to ensure timely adjudication.
- →Manages all appeal and brand-only requests and tracks each case through completion.
- →Reviews PADR reports and ensures quarterly data corrections are completed.
- →Applies the organization's formulary, guidelines, and restrictions to all PADRs under review.
- →Develops criteria for use when none exist, based on Pharmacy Benefits Management monographs, formulary guidance, and drug information.
- →Reviews and applies criteria for use for each requested medication or supply.
- →Analyzes and incorporates relevant published medical literature into PADR adjudication.
- →Collaborates with procurement technicians to ensure optimal resource use and communicate changes in drug availability.
- →Strives to deliver optimal drug therapy while balancing medication or supply availability and cost.
- →Documents PADR adjudications and formulary-related activities in the electronic health record in a timely, professional manner.
- →Communicates with providers, pharmacists, and staff throughout the adjudication process to provide input and feedback as needed.
- →Coordinates with relevant stakeholders when reviewing, commenting on, and adjudicating PADRs.
- →Serves as a resource for clinical pharmacists and providers regarding formulary status and requirements for restricted or non-formulary medications.
Requirements
- ✓You must be a U.S.
- ✓Citizen to apply for this job.
- ✓All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
- ✓Applicants who refuse to be tested will be denied employment with VA.
- ✓Selective Service Registration is required for males born after 12/31/1959.
- ✓Must be proficient in written and spoken English.
- ✓Subject to background/security investigation.
- ✓Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Must pass pre-employment physical examination.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- ✓Complete all application requirements detailed in the "Required Documents" section of this announcement.
- ✓As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
Personality Fit
This role is commonly a great fit for these MBTI types:
Job ID: 4ed346f0-7a20-4e55-8c06-33094c5a4021
Posted via USAJobs