Clinical Pharmacist

Health Care Service Corporation•Albuquerque, NM

6d•$102,000 - $184,300•Remote

About The Position

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This Position Is Responsible For Performing Activities Associated With Administration And Management Of Pharmacy Programs Including But Not Limited To Assisting In The Development, Implementation And Maintenance Of A Disease State Formulary System. Utilization Management Programs. Specialty Pharmacy Management. Medication Therapy Management, Client Relationships And Support; And Development Of Innovative Clinical Programs. The CareAllies clinical pharmacist will play a key role in executing on our strategic priorities focused on unlocking value and quality for physicians by reducing complexity of care and elevating clinical results. The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members. In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations. These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence. This is a Clinical Optimization Pharmacy role. The Clinical Optimization Pharmacist is responsible for daily clinical pharmacy activities within the Medicare program. This position supports the development and execution of initiatives that improve the quality and cost-effectiveness of drug therapy in coordination with ambulatory care providers and clinical teams. The position requires limited regional travel (up to 25% ) to support assigned provider groups.

Requirements

Registered Pharmacist in the United States
Experience using window based word processing, spreadsheet and relational database software
Drug information skills
Strong Verbal and written communication skills
Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques
Knowledge of medication use evaluation principles
Ability to remain at a work station and perform computer entry for long periods of time, as required
Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management
Bachelor’s degree in pharmacy
Registered in good standing pharmacy license
Professional experience in managed care and / or in ambulatory care of 3+ years
Professional pharmacy practice experience with the patient population
Strong communication skills to convey clear understanding of unique needs to different audiences
Demonstrated ability to work independently, solve problems, and make sound decisions in a timely fashion
Ability to deal with ambiguity and continue to operate effectively
Effectively builds informal relationship networks inside and outside the organization
Ensure tasks are prioritized appropriately to effectively and efficiently accomplish objectives and goals
Proficiency in computer applications including Microsoft office platforms word, excel, and power point
Foundational understanding of the structure of the CMS Medicare program and associated regulatory landscape
Foundational understanding of the CMS quality improvement programs
Active Pharmacist license required
Doctor of Pharmacy (PharmD) degree required
Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice
Minimum 3 years’ experience in Managed Care, Medicare and/or Medicaid settings preferred
Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences
Advanced proficiency in Microsoft Office applications including Word, Excel, PowerPoint, and Outlook
Strong computer literacy with the ability to navigate systems and applications simultaneously
Strong learning agility and ability to apply new concepts and tools
Strong analytical thinking, problem solving and clinical decision-making skills
Ability to develop innovative solutions to complex healthcare challenges
Must have an active and unrestricted Pharmacist license in the State of residence

Nice To Haves

Doctor of pharmacy degree is strongly preferred
Registered pharmacist preceptor
Additional certifications and residency experience
Managed care and/or Pharmacy Benefit Management (PBM) experience
MTM experience, specialty pharmacy, or government programs knowledge
Strong Presentation and Communication skills
Completion of an ASHP accredited Pharmacy PGY1 Residency program
Residency and/or Board Certification preferred
Experience with Medication Therapy Management (MTM) programs strongly preferred
Familiarity with MTM platforms (ex: Adhere Health’s Optimize or similar applications) preferred
Bilingual proficiency in English and Spanish preferred

Responsibilities

Performing activities associated with administration and management of pharmacy programs
Assisting in the development, implementation and maintenance of a disease state formulary system
Utilization Management Programs
Specialty Pharmacy Management
Medication Therapy Management
Client relationships and support
Development of innovative clinical programs
Executing on strategic priorities focused on unlocking value and quality for physicians by reducing complexity of care and elevating clinical results
Advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members
Collaborating with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations
Assessing drug interactions
Identifying therapeutic duplications
Evaluating renal and hepatic dosing adjustments
Addressing evidence-based gaps in care
Supporting STAR-related pharmacy initiatives
Identifying barriers to medication affordability and adherence
Daily clinical pharmacy activities within the Medicare program
Supporting the development and execution of initiatives that improve the quality and cost-effectiveness of drug therapy in coordination with ambulatory care providers and clinical teams