#CNA2025
About us:
Aroha Technologies Inc. was founded in 2008 in Florida. What began as a powerful staffing solutions provider has since evolved into a trusted healthcare staffing agency delivering reliable and long-term staffing for healthcare facilities in need of skilled healthcare professionals.
Z TEMP Clinical Pharmacist
Location: Orange CA 92868
Schedule: Monday Friday 8:00 AM 5:00 PM
Department: Pharmacy Management
Work Arrangement: Full Office
Salary Grade: $58.12 $92.98/hour (Based on Experience)
Summary
CalOptima Health is seeking a Z TEMP Clinical Pharmacist to join our Pharmacy Management team. This role supports the organizations mission to serve member health with dignity excellence and respect. The Clinical Pharmacist will play a critical role in drug utilization review clinical quality improvement programs policy development and provider collaboration to improve health outcomes for members.
Duties & Responsibilities
Pharmacy Management (95%)
- Participate in CalOptima Healths mission-driven culture of excellence and accountability.
- Generate and analyze claims/utilization reports to identify trends and targeted management activities.
- Develop and update drug utilization criteria and intervention programs.
- Collaborate with providers and stakeholders to optimize medication management.
- Contribute to quality improvement initiatives such as HEDIS Stars MTM and interdisciplinary care teams.
- Review prior authorizations appeals and medication profiles using clinical and regulatory guidelines.
- Prepare drug monographs and reports for the Pharmacy & Therapeutics Committee.
- Serve as plan representative for state fair hearings.
- Support compliance with CMS DHCS DMHC NCQA and CalOptima Health policies.
- Resolve member complaints grievances and appeals.
Other (5%)
- Complete additional duties and special projects as assigned.
Minimum Qualifications:
- Doctor of Pharmacy (PharmD) degree.
- Current knowledge and expertise in clinical pharmacology and disease states.
- Active valid and unrestricted California Registered Pharmacist License.
- Audit experience with CMS DHCS DMHC or NCQA.
- Experience in pharmacy practice or residency.
- Bilingual in one of CalOptima Healths threshold languages (Arabic Chinese Farsi Korean Russian Spanish Vietnamese).
Knowledge & Abilities
- Strong interpersonal skills to build relationships across diverse stakeholders.
- Excellent communication (oral and written) organizational and problem-solving skills.
- Ability to manage multiple projects in a fast-paced environment.
- Proficiency in Microsoft Office (Word Outlook Excel PowerPoint) and pharmacy-related software.
- Leadership skills to motivate teams and participate in committees.
Best regards
Amit
Senior Healthcare Recruiter Direct:
Email: