Pharmacy Resident

CareSource Management Services • Dayton, OH

3d

About The Position

The Pharmacy Resident interacts professionally as a pharmacist resident within an interdisciplinary team of health care professionals to provide support and leadership within the managed care environment and an academic setting. Essential Functions: Assist operations team in processing prior authorization requests and improving operational processes Develop innovative programs and contribute to ongoing projects by performing a variety of tasks as assigned by residency director to further support pharmacy’s role in supporting the CareSource mission of “transforming lives through innovative health and life services” Focus on producing high quality, cost-effective, and patient-centered pharmacy benefits through indirect patient care activities Assist in formulary management, including policy writing and creating coverage criteria Conduct pharmacoeconomic and health outcomes research to be presented at a professional conference Develop programs for members participating in Pharmacy MTM programs Apply pharmacoeconomic principles to optimize patient well-being through cost-effective medication use Review drug information literature to make evidence-based decisions Perform indirect patient care activities through various programs like MTM, drug utilization reviews, quality improvement, etc. Analyze market research to monitor and assess trends in specialty pharmacy, new drugs or drug technology, disease state management, managed care, patient care and clinical services Develop effective utilization management programs Participate with the Pharmacy & Therapeutics Committee Provide leadership to APPE students Work with PBMs, CMS, and drug manufacturers for pharmacy benefit design and utilization Compose and teach didactic lectures and/or provide continuing education presentations Assist with physician education programs regarding member benefits Assist members and their families with pharmacy benefits Contribute to efforts to improve member satisfaction Contribute to the development and completion of departmental goals and projects Contribute to pharmacy department operational needs on demand (prior authorization requests, appeals, medical reviews, etc.) PGY-2 pharmacy residents may participate in departmental projects and mentoring as assigned Perform any other job-related instructions, as requested

Requirements

• Pharmacy degree from an ACPE accredited school of pharmacy is required.
• Highly motivated, creative, empathetic and adaptive
• Strong administrative skills
• Decision making/problem solving ability
• Flexible with high tolerance for ambiguity
• Have the ability to work with reports and numbers
• Excellent written and oral communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Critical listening and thinking skills
• Ability to work in a fast-paced environment
• Must pass NAPLEX exam by December 1st following date of hire; must pass MPJE and obtain pharmacist licensure in at least one state in which CareSource does business by January 1st following date of hire and maintain licensure in good standing.
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position.
• CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment.

Responsibilities

• Assist operations team in processing prior authorization requests and improving operational processes
• Develop innovative programs and contribute to ongoing projects by performing a variety of tasks as assigned by residency director to further support pharmacy’s role in supporting the CareSource mission of “transforming lives through innovative health and life services”
• Focus on producing high quality, cost-effective, and patient-centered pharmacy benefits through indirect patient care activities
• Assist in formulary management, including policy writing and creating coverage criteria
• Conduct pharmacoeconomic and health outcomes research to be presented at a professional conference
• Develop programs for members participating in Pharmacy MTM programs
• Apply pharmacoeconomic principles to optimize patient well-being through cost-effective medication use
• Review drug information literature to make evidence-based decisions
• Perform indirect patient care activities through various programs like MTM, drug utilization reviews, quality improvement, etc.
• Analyze market research to monitor and assess trends in specialty pharmacy, new drugs or drug technology, disease state management, managed care, patient care and clinical services
• Develop effective utilization management programs
• Participate with the Pharmacy & Therapeutics Committee
• Provide leadership to APPE students
• Work with PBMs, CMS, and drug manufacturers for pharmacy benefit design and utilization
• Compose and teach didactic lectures and/or provide continuing education presentations
• Assist with physician education programs regarding member benefits
• Assist members and their families with pharmacy benefits
• Contribute to efforts to improve member satisfaction
• Contribute to the development and completion of departmental goals and projects
• Contribute to pharmacy department operational needs on demand (prior authorization requests, appeals, medical reviews, etc.)
• PGY-2 pharmacy residents may participate in departmental projects and mentoring as assigned
• Perform any other job-related instructions, as requested

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Ph.D. or professional degree
• Number of Employees: 1,001-5,000 employees