Clinical Pharmacist Specialist
About The Position
Presbyterian Healthcare Services is hiring a full-time Clinical Pharmacist Specialist to provide consultative services for management of the Presbyterian Health Plan (PHP) pharmacy benefit across all product lines. The role oversees prior authorization, formulary management, regulatory compliance, and pharmaceutical-company relationships, and coordinates clinical programs and educational services for members, providers, and PHP staff. The specialist works with Presbyterian Medical Group and non-PMG providers to improve prescribing and patient care. This includes creating customized prescriber profiles using ICIS and predictive modeling tools, sharing drug information and prescribing feedback, and participating in the development, implementation, and monitoring of PHP drug initiatives to support appropriate, cost-effective medication use and reduce overall pharmacy costs. The position also supports medication management clinics, formulary and Pharmacy & Therapeutics Committee work, drug utilization review, disease management pathways, and pharmacy regulatory compliance. The role is based at 9521 San Mateo NE, Albuquerque, New Mexico, and is a day-shift position.
Requirements
- Doctorate degree in Pharmacy (PharmD) or Registered Pharmacist (RPh) with extensive clinical experience.
- New Mexico Board of Pharmacy license required.
Nice To Haves
- Residency or equivalent experience.
- Three to five years of experience in a clinical setting.
- Residency and board certification are strongly desired.
Responsibilities
- Provide consultative services for management of the PHP pharmacy benefit across all product lines, including prior authorization, formulary management, regulatory compliance, and pharmaceutical-company relationships.
- Coordinate clinical programs and educational services for members, providers, and PHP staff.
- Work with PMG and non-PMG providers to optimize drug therapy prescribing.
- Develop customized prescriber profiles using ICIS and predictive modeling tools, and present the information to providers.
- Provide physicians with drug information and participate in developing, implementing, and monitoring PHP drug initiatives.
- Work with the Pharmacy Department on formulary development and maintenance, including drug and therapeutic class reviews for the Pharmacy & Therapeutics Committee and implementation of committee decisions.
- Review medication regimens of patients discharged from inpatient settings for duplication or negative interactions and make recommendations to providers.
- Interact with members in clinical pharmacist-run medication management clinics to discuss or review polypharmacy, disease states, and pharmacy benefits.
- Review pharmacy profiles of PHP and paneled patients for drug interactions, duplications, and Preferred Drug List compliance.
- Consult with PHP providers to promote patient safety, quality, and cost-effective medication use.
- Provide individual provider feedback, education, and recommendations on cost-effective drug prescribing.
- Provide feedback on drug utilization patterns to delegated physician groups.
- Provide educational programs to help members improve knowledge, compliance, and cost-effective therapy.
- Evaluate and improve the efficiency and effectiveness of the prior-authorization process.
- Evaluate new drug therapies for possible formulary inclusion and evaluate and authorize non-formulary medication.
- Conduct drug utilization reviews and identify areas for improvement.
- Serve as a consultant in developing Disease Management Pathways.
- Evaluate per-member-per-month pharmacy costs and develop mechanisms to favorably affect costs while maintaining or improving quality of care.
- Interact with other PHP departments to assist with functions such as marketing, enrollment, and provider services.
- Support PHP regulatory compliance requirements and standards related to pharmacy department functions.
- Perform other functions as required.
Benefits
- Educational and career development options, including tuition and certification reimbursement and scholarship opportunities.
- Staff Safety wearable badge for discreetly calling for help when safety is a concern.
- Shift differentials for night and weekend shifts, and differentials for higher education, certifications, and various lead roles for eligible positions.
- Malpractice liability insurance.
- Loan forgiveness through the New Mexico Higher Education Department.
- Access to a wellness program that includes free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, and wellness challenges.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Ph.D. or professional degree
