By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Pharmacist This position is a PRN (as needed) pharmacist, who will work no more than 20 hours per week when work is available **PRIMARY PURPOSE** : To counsel physicians and patients on the proper use of medications, assist in drug selection and dosage, and monitor complex drug regimens; to provide medical necessity reviews to evaluate, implement, and monitor options and services to meet client health needs; and to promote quality cost-effective medication outcomes and alternatives. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews complex pharmacy files and develops action plan for physicians and nurses for weaning schedule. + Evaluates need for alternative treatment through telephone contact and assessment with service provider. + Calls treating physicians to conduct a peer review of medications used on specific claims and provides insight for drug interactions, health and safety concerns, and weaning plans. + Advises patients, physicians, and other health practitioners on the selection, dosage, interactions, and side effects of medications; monitors the health and progress of patients to ensure medications are effective and are being used safely. + Consults with CPM team on difficult cases. + Consults with pharmacy UR team for difficult claims requiring weaning schedule. + Assesses needs, gives appropriate clinical options, and provides education to clients, nurse team, and treating physicians; develops specialized training for nurses to help with knowledge growth. + Negotiates price, offers generic alternatives when appropriate, and coordinates narcotic use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, trends, and data collection. + Interacts and coordinates work of physician advisors as needed; performs complex review of cases to identify referral for case management as needed. + Participates in client meetings and phone calls to explain program results. **Education & Licensing** Active unrestricted license or certification to practice pharmacy in a state or territory of the United States required. PharmD degree from an accredited college or school of pharmacy required. **Experience** Ten (10) years of related experience or equivalent combination of education and experience required to include three (3) years of recent clinical practice experience. Utilization practice experience preferred. Insurance/claims industry experience preferred. **Skills & Knowledge** + Strong utilization practice knowledge + Knowledge of the insurance industry and claims processing + Knowledge of current pharmacy trends and alternative resources and treatments in out-patient and alternative care settings + Oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **TAKING CARE OF YOU BY** + Offering a blended work environment. + Supporting meaningful work that promotes critical thinking and problem solving. + Providing on-going learning and professional growth opportunities. + Promoting a strong team environment and a culture of support. + Recognizing your successes and celebrating your achievements. + Thrives when everyone is working towards the same vision/goals. + We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $55-$60/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**