New

Clinical Formulary Pharmacist

Spectraforce Technologies

United States, California, Los Angeles

Aug 05, 2025

Position Title: Clinical Formulary Pharmacist

Work Location: Remote - PST work hours preferred

Assignment Duration: 6 months (possibility to extend or convert)

Work Schedule: Monday - Friday (8 AM to 4:30 PM). No overtime.

Work Arrangement: Remote - PST preferred

Position Summary:

Define and develop standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D and the Health Information Marketplace.

Key Responsibilities:

Develop drug product review and formulary recommendations by assessing drug use trends, new drug releases and review of primary literature
Analyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelines
Set criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting
Develop clinical criteria for review of non-formulary or non-preferred drug lists medications and communicate recommendations to clients
Develop and design clinical edits to adjudicate claims and enhance drug utilization
Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design
Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews
Provide clinical guidance and support to the assigned pharmacy technicians
Provide support documentation and develop communication for the Pharmacy &Therapeutic (P&T) Committee review process and decisions

Qualification & Experience:

Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy
3+ years of combined managed care pharmacy or pharmacy residency program experience
Current state's Pharmacist license with no restrictions

Candidate Requirements
Required: Doctor of Pharmacy (PharmD)	Preferred:
Required: Current state's Pharmacist license	Preferred:
Years of experience required: a) 3+ years pharmacy experience or b) 1-year PGY1 residency or c) managed care experience Disqualifiers: Additional qualities to look for: Experience with projects or assignments that require high attention to detail, Ability to properly prioritize and reprioritize work, Able to adapt and be flexible with changes in processes.
Top 3 must-have hard skills stack-ranked by importance	1	Strong clinical understanding of therapeutic guidelines
2	Microsoft Office Experience - Excel, Word, Outlook, Visio
3	Ability to work independently and keep good communication about their project/assignment updates.