Clinical Pharmacist (Care & Medication Therapy Management)
About The Position
Manage populations of patients who meet high risk criteria in order to improve disease state outcomes and improve medication related safety. Ensure safe, effective, and cost-effective medication therapy will be implemented for all patients in their care and monitor care appropriately. Support quality department to improve HEDIS metrics on projects related to medication adherence and routine health visits. Provide clinical recommendations pertaining to, but not limited to gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution and generic substitution. Utilize client formulary information and member specific benefits to guide appropriate medication recommendations. Be aware of current and emerging clinical trends and educate clinical team, physicians and other prescribers. Participate in the development of educational materials that may be presented as education intervention programs. Collaborate with physicians and other prescribers by reviewing patients drug profiles to help safeguard against new prescriptions having unintended side effects and by working with prescribers to assure that the drugs prescribed are eligible for coverage; are low cost, high quality products. Outreach to physicians to clarify medication regimens and make recommendations. Conduct research and analysis to identify cost management and process/quality improvement opportunities.
Requirements
- Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy.
- 2+ years of mail order, retail, hospital, managed care pharmacy experience or pharmacy residency program experience.
Responsibilities
- Manage populations of patients who meet high risk criteria in order to improve disease state outcomes and improve medication related safety.
- Ensure safe, effective, and cost-effective medication therapy will be implemented for all patients in their care and monitor care appropriately.
- Support quality department to improve HEDIS metrics on projects related to medication adherence and routine health visits.
- Provide clinical recommendations pertaining to, but not limited to gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution and generic substitution.
- Utilize client formulary information and member specific benefits to guide appropriate medication recommendations.
- Be aware of current and emerging clinical trends and educate clinical team, physicians and other prescribers.
- Participate in the development of educational materials that may be presented as education intervention programs.
- Collaborate with physicians and other prescribers by reviewing patients drug profiles to help safeguard against new prescriptions having unintended side effects and by working with prescribers to assure that the drugs prescribed are eligible for coverage; are low cost, high quality products.
- Outreach to physicians to clarify medication regimens and make recommendations.
- Conduct research and analysis to identify cost management and process/quality improvement opportunities.
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off
- holidays
- flexible approach to work
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
