We provide medication reviews for members that have qualified for one of our pharmacy clinical programs. Currently we have a clinical program expanding and need additional support temporarily.
Pharmacist will be expected to review a patient's medical information and pharmacy claims for gaps in care, drug therapy problems, etc.
Expectation is 90% productivity daily.
Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
Monitor prior authorization requests
Provide clinical support to internal departments and address clinical related questions
Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
Develop and implement programs designed to impact DUR for both Medicaid and Medicare
Develop, implement, and maintain policies and procedures for the pharmacy department
Participate in the coordination of the Medicare MTM program
Assist case management team with members including clinical rounds presentations
Education/Certification Required:
B.S. in Pharmacy or PharmD
Licensure Required:
Required to be licensed in state of residence
Years of experience required:
Years of experience required: at least 2 years MTM experience
Disqualifiers:
Not having MTM experience
Top 3 skills
Work independently
Critical thinking
Clinical skill
Numbers & Facts
Location
NULL, NULL (Remote)
Salary
$60–$65
Skills
Case Managementunmatched
Clinical Supportunmatched
Drug Therapyunmatched
Medicaidunmatched
Medical Recordsunmatched
Medicareunmatched
Medicationsunmatched
Performance Managementunmatched
Pharmacyunmatched
Policy Implementationunmatched
Quality Assuranceunmatched
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