Managed Care Pharmacist

About Us

Every year, millions of patients are hospitalized because of medication problems, and billions of dollars in taxpayer money are wasted on drugs that deliver little therapeutic value. The reason is structural: no single entity in healthcare looks across a patient's entire medication list to make sure they're on the right drug, at the right dose, at the right time, for the right price.

That's the gap GoldenScript fills. We are a pharmacy services platform that traverses the complex maze of clinical, insurance, and financial data behind every prescription, combining it into a comprehensive view of each patient's optimal medication list. From there, our clinical team executes the last mile: coordinating prescribers, pharmacies, and payers to actually move each patient onto the right regimen.

About the Role

GoldenScript looks across a patient's entire medication list and finds the places where a different drug would serve them better. That change does not happen on its own. No one in healthcare today owns the job of advocating for the patient and actually getting the regimen changed. That missing role is this one.

As the pharmacist on our Medication Optimization team, you identify the opportunity, build the clinical case, and then go get it done. That means working the outpatient clinic: getting to the clinical staff, finding out who the decision maker actually is, getting through to that person, and getting the change made. Then you follow it to the pharmacy and confirm the new prescription is actually filled. It is advocacy on the patient's behalf, and it takes the clinical credibility to answer the prescriber's question and the persistence to keep going until the medication is in the patient's hands. You measure the week in changes made, not charts reviewed.

What You'll Do

• Review the therapeutic opportunities our platform surfaces and validate each one clinically

• Confirm the recommendation holds for this specific patient using current treatment guidelines, evidence-based medicine, and patient-specific factors including comorbidities, contraindications, safety, and therapeutic efficacy

• Work the prescriber's office: reach the clinical staff, find the decision maker, get through to them, and advocate for the recommendation directly, communicating the clinical rationale and answering objections

• Place 60 to 80 calls a day across your active cases. Own each case through 30 to 40 touchpoints if that is what it takes. Offices are busy, calls go unreturned, and the first answer is often no answer at all. You keep going

• Follow the change through to the pharmacy and confirm the new prescription is filled

• Maintain accurate, comprehensive documentation of clinical assessments, recommendations, prescriber and pharmacy interactions, and intervention outcomes across multiple systems

We're Looking for Someone Who Is

• Clinically credible on the phone. When a prescriber asks why your alternative is better for this patient, you answer it on the spot and they take you seriously

• Relentless in a good way. You will call again, get past the front desk, and keep going when the office has ignored the last four attempts

• Comfortable advocating. You can disagree with a prescriber's current choice without putting them on the defensive, and you keep pushing after the first no

• Resourceful and self-directed. You don't need a perfect roadmap, and you're comfortable finding the right person and the right answer on your own

• At home in a startup. Our tools, scripts, and workflows change as we learn, and you'd rather help shape them than wait for a finished playbook

• Motivated by the patient. You bring the same attention to every case, however complex or routine the opportunity

How Success Is Defined

• Therapeutic changes driven to completion each week, weighted most heavily

• 40 to 60 active cases owned per week

• Accuracy and completeness of clinical documentation

Required Qualifications

• Active, unrestricted New Jersey pharmacist license

• Doctor of Pharmacy (PharmD) from an ACPE-accredited program

• 3+ years of clinical pharmacy practice, ideally at a payer (Oscar, Devoted, or a commercial level-funded plan), a PBM (Capital Rx or similar), or an integrated health system (Kaiser, Ochsner, Geisinger)

• Demonstrated experience driving prescriber action. You have held clinicians accountable and gotten them to change something, and you can point to specific cases where you did. This is not utilization review, and it is not telephonic patient outreach

• Strong command of pharmacotherapy, evidence-based medicine, and therapeutic alternatives, with the ability to evaluate clinical literature and apply it to individual patient care

• Comfort with high-volume outbound prescriber engagement, recognizing that direct outreach and follow-through are central to the role

Preferred Qualifications

• Experience in formulary management, P&T committees, or prior authorization

• Familiarity with Medicare Part D, managed care pharmacy, or pharmacy benefit structures

• Residency training (PGY1 or PGY2) or board certification (BCPS or similar)

Equal Opportunity

GoldenScript is an equal opportunity employer. We're building a company that reflects the diversity of the population we serve. We're committed to a hiring process that is fair, inclusive, and free from discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by law.