Clinical Pharmacist Specialist

Presbyterian Healthcare Services • Remote Workers New Mexico, NM

4d • $100,152 - $175,718 • Remote

About The Position

Provides professional consultative services for management of the PHP pharmacy benefit across all product lines, including oversight of prior authorization, formulary management, regulatory compliance, and pharmaceutical company relationships. Coordinates clinical programs and services, including educational programs for members, providers, and PHP staff.

Works with PMG and non-PMG providers to optimize prescribing practices. Develops customized prescriber profiles using ICIS and predictive modeling tools and presents the information to providers. Provides drug information and participates in developing, implementing, and monitoring PHP drug initiatives to support cost-effective and appropriate drug utilization, optimize patient care, and decrease overall pharmacy costs for PHP.

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 is strongly desired.
• Three to five years of experience in a clinical setting is strongly desired.
• Residency and board certification are strongly desired.

Responsibilities

• Work with the Pharmacy Department on formulary development and maintenance, including drug and therapeutic class reviews for the Pharmacy & Therapeutics (P&T) Committee and implementation of committee decisions.
• Review medication regimens for patients discharged from inpatient settings to identify duplications or negative interactions and make recommendations to providers.
• Meet with members in pharmacist-run medication management clinics to discuss and review polypharmacy, disease states, and pharmacy benefits.
• Review pharmacy profiles of PHP and paneled patients for drug interactions, duplications, and Preferred Drug List (PDL) 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 prescribing.
• Provide delegated physician groups with feedback on drug utilization patterns.
• Provide educational programs to members to enhance knowledge, compliance, and cost-effective therapy.
• Improve the efficiency and effectiveness of the prior-authorization process.
• Evaluate new drug therapies for possible inclusion on the formulary.
• 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 efforts as they relate to pharmacy department functions.
• Perform other functions as required.

Benefits

• Tuition and certification reimbursement
• Scholarship opportunities
• Staff Safety wearable badge
• Shift, higher education, certification, and lead-role differentials for eligible positions
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• Wellness program with access to free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, and wellness challenges

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree