Pharmacist - Case and Disease Management (CMDM) - Remote

Highmark Health • Washington, NV

8d • $118,400 - $196,800 • Remote

About The Position

This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough research to evaluate the patient and extensive clinical judgment and discretion to provide recommendations for closing the gap in care. The incumbent may interact with the patient or care giver, physician, and/or pharmacist through the intervention.

Requirements

• Bachelor's Degree in Pharmacy
• 5 - 7 years in Pharmacy
• 3 - 5 years in Pharmacist - Utilization Management
• 3 - 5 years in Pharmacist - Medical Therapy Management
• Registered Pharmacist
• Oral & Written Communication Skills
• Telephone Skills
• Problem Solving & Decision Making
• Compliance
• Collaborative Problem Solving
• Lifting: up to 10 pounds Constantly
• Lifting: 10 to 25 pounds Occasionally
• Lifting: 25 to 50 pounds Rarely
• Adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
• Complies with HIPAA as described in the Notice of Privacy Practices and Privacy Policies and Procedures.
• Complies with all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
• Complies with the company’s Code of Business Conduct, including adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Nice To Haves

• Doctorate in Pharmacy
• Clinical residency program (reduces experience requirement from 3-5 to 1-2 years)
• None

Responsibilities

• Review gaps in care for high risk patients as part of a multi-disciplinary team.
• Conduct research including gathering claims data, reviewing clinical websites, etc. to thoroughly evaluate each patient's unique situation to provide the appropriate clinical recommendation.
• Contact patients, care givers, physicians, pharmacists, etc. to intervene on identified gaps of care using a high level of clinical judgement and discretion.
• Other duties as assigned.

Benefits

• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level