• Proactively deliver new drug analyses and recommendations, including coverage guidance, clinical prior authorization criteria, pharmacoeconomic insights, and pharmacy practice guidelines. • Provide ad hoc data analyses and query results to HCA New Mexico to support clinical program development and decision-making. • Lead regularly scheduled client clinical meetings and remain available during business hours to address client questions and requests. • Review rejected claims and provide clinical recommendations for prior authorization determinations. • Collaborate with Retro DUR pharmacists to implement new interventions, create ad hoc reports, and address inquiries from clients, providers, and internal staff. • Partner with the account team to update clinical interventions based on evolving treatment guidelines and evidence-based recommendations. • Work with the IT team to ensure accurate configuration of clinical recommendations. • Supply required data for annual CMS survey responses. • Present clinical updates quarterly at state DUR Board meetings.