Pharmacist, Clinical/MTM

Molina Healthcare • Grand Rapids, MI

404d • $80,412 - $188,164

About The Position

The Clinical/MTM Pharmacist at Molina Healthcare is responsible for ensuring that members have access to necessary prescription drugs while promoting safe and cost-effective medication use. This role involves managing pharmacy benefit programs, providing clinical pharmacy services, and overseeing medication safety and patient outcomes in compliance with federal and state laws.

Requirements

• Doctor of Pharmacy (Pharm.D.) or Bachelor's Degree in Pharmacy with 10 years of relevant experience including clinical work.
• Continuing education required to maintain an active pharmacist license.
• ASHP-accredited residency or 2-3 years relevant Pharmacy experience.
• Current knowledge and expertise in clinical pharmacology and disease management.
• Active and unrestricted State Pharmacy License.

Nice To Haves

• Ambulatory Care Residency
• Experience with Medicaid and/or Medicare programs.
• Clinical skills or pharmacotherapy expertise for MTMP-related conditions and medications.
• Experience with team-based care.
• Board Certified Ambulatory Care Pharmacist certification.
• American Pharmacist's Association Medication Therapy Management Certificate Training Program certificate or equivalent.

Responsibilities

• Provides medication therapy management including examination of member medical records, performing a comprehensive medication review, and communicating with members and providers.
• Reviews members' medication profiles and applies evidence-based medicine and national guidelines when creating recommendations to health care providers.
• Analyzes and reviews medication lists for potential patient safety problems, including drug interactions and suboptimal medication regimens.
• Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines through various modalities.
• Performs prior authorization reviews of high-cost medications and deferred authorization requests as needed.
• Researches, develops, and implements drug utilization and disease state management strategies and intervention techniques.
• Assists in coordination of care for pharmacy-related issues between members, providers, and other members of the interdisciplinary care team.
• Follows up with members and providers to check on progress toward meeting drug treatment goals.
• Serves as a drug information resource to Pharmacy staff, Medical Affairs staff, and Providers.
• Reviews and analyzes pharmacy benefit manager reports to track trends in drug utilization and identify potential targeted utilization management activities.
• Works with Health Care Services on member-centered interdisciplinary teams.
• May prepare drug monographs and utilization reports for the Pharmacy & Therapeutics Committee.
• Assists Director with developing/updating policies and procedures to comply with regulations.

Benefits

• Competitive benefits and compensation package.

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree