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Pharmacist 21 views

Headhunters - Port Elizabeth, Eastern Cape - Our blue chip corporate client, who operates in the financial, insurance & healthcare wellness space for individuals, families and businesses; seeks to appoint an experienced Pharmacist to their dynamic and progressive team. Roles and responsibilities include: Authorisation of chronic medication according to the Schemes protocols Assisting doctors, pharmacists and members with claim and authorisation related queries Drug Utilisation Reviews (DUR) - ongoing review of the prescribing, dispensing and use of medication in order to achieve appropriate therapeutic decision-making and positive patient outcomes. Retrospective review of chronic medication claims Drug formulary maintenance - evaluating new drugs on the market, price comparisons between generic and therapeutic equivalents, management of drug exclusion reviews. Underwriting - reviewing new membership application forms and excluding new members for disclosed pre-existing conditions as per the Underwriting process Forensic investigations and findings. Daily, weekly, monthly and quarterly measurement procedures and audit report operations. Processing CDL outpatient applications and claims Working with other healthcare personnel within the organisation Liaising with outsourced providers and suppliers Manage ad hoc clinical projects as required Review of clinical protocols and guidelines Ensure effective communication amongst all stakeholders Provide clinical expertise within the organization where required Disease management case identification and provide clinical support and guidance for disease management programmes Successful candidate must meet following requirements: Formal Education: B Pharm Registered with the SAPC Computer literate especially Microsoft Word and Excel Knowledge and Skills: Previous experience in a managed healthcare environment an advantage Knowledge of Drug Utilisation Reviews Knowledge of Prescribed Minimum Benefits an advantage Excellent communication skills, both verbal and written Outstanding time management and organisational skills Able to work both within a team and independently Make objective decisions Maintain confidentiality Personal Traits: Self-motivation Take personal responsibility for developing excellence Portray a professional image... - Permanent - Full-time

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