• Pharmacy Specialist - casual

    Job ID 2019-3341
    Job Locations
    Healthcare / Biotechnology
  • Overview

    NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a refined focus on strategic partnerships, we are successfully bridging the gap between commercial best practices and mission-critical government processes. Core competencies include:

    • Artificial intelligence
    • Agile digital transformation
    • Advanced analytics
    • Hyperconverged infrastructure solutions
    • Cyber security and information assurance
    • Fraud, waste and abuse
    • Engineering and logistics


    NCI has been designated a 2018 Military Friendly Employer by MilitaryFriendly.com 


    Headquartered in Reston, Virginia, NCI has approximately 2,000 employees operating at more than 100 locations worldwide.




    • Extensive knowledge of how prescription drugs are developed and managed
    • Experience in the development of plans and the review of claims/medical records to ensure clinically appropriate utilization, including experience in claims analysis, claims data review for abnormalities, auditing of claims/medical records to ensure proper utilization of benefits
    • Experience concerning the current uses of medications, new or emerging issues, issues related to electronic prescribing, among other general knowledge and experience in prescription drug benefits
    • Assists the DOJ/AUSA attorneys, DOJ Medical Reviewers and DOJ Supervisor by researching Medicare and Medicaid pharmaceutical drug coverage criteria, regulations and policies as requested
    • Stays current with Medicare and Medicaid fraud/abuse issues or vulnerabilities related to pharmaceuticals and recommends appropriate proactive analysis
    • Assists Statistician with data analysis requests from the customer for pharmaceutical related issues
    • Assists the DOJ team in cases related to pharmaceutical claims
    • Assists the DOJ Medical Review team in the review of pharmaceutical claims
    • Develops and conducts internal and external training as assigned by management
    • Assists with training for internal and external stake-holders
    • Provides expert witness testimony as required
    • Travels as required for meetings or training
    • Conducts research on pharmacy related algorithms as requested to identify clinical implications of the algorithm
    • Conducts state-specific research for applicable pharmacy policies as requested
    • Demonstrates knowledge and ability to research standard pharmacy practices, and Medicare/Medicaid rules and policies for the applicable states
    • Performs other duties as assigned by Operations Manager that contribute to various – task order area – goals and objectives and comply with DOJ directives
    • Ensures confidentiality of all Protected Health Information (PHI) and sensitive information
    • Demonstrates communication skills with internal and external customers, including Senior Management and DOJ/AUSA Attorneys



    • Bachelor’s Degree of Pharmacy and shall be a board-trained certified pharmacist and trained in Biochemistry, Chemistry and Pharmacokinetics
    • At least five (5) years experience in prescription drug benefit management with three (3) years experience managing a prescription drug formulary, medication therapy management, and drug interaction program



    • 4 - 9 Years



    • Doctorate of Pharmacy (Pharm. D) preferred




    This position requires the ability to perform the below essential functions:

    • Sitting for long periods
    • Standing for long periods
    • Ambulate throughout an office
    • Ambulate between several buildings
    • Stoop, kneel, crouch, or crawl as required
    • Repeatedly lift and carry weight up to _25__ pounds
    • Travel by land or air transportation _5__ %


    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    Connect With Us!

    Not ready to apply? Connect with us for general consideration.