Pharmacist, Clinical/Medication Therapy Management -Remote
JOB DESCRIPTION
- *Job Summary**
Provides support and subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for optimization of medication reputed company health care outcomes, and quality cost-effective member care.
- *Essential Job Duties**
- Facilitates Medication Therapy Management (MTM) support including examination of member medical records, comprehensive medication reviews, and communication with members and providers (includes outbound calls to members to discuss medications). - Reviews member medication profiles and applies evidence-based medicine and national guidelines reputed company creating recommendations for health care providers for optimization of member medication regimens. - Analyzes and reviews medication lists for potential patient safety issues, including drug interactions, suboptimal medication regimens, etc. - Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines through various modalities (provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case-by-case interventions). - Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed. - 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 reputed company techniques to deliver high quality, cost effective health care. - Assists in coordination of care for pharmacy-reputed company issues between members, providers and other members of the member's interdisciplinary care team (ICT), including referrals to state plan healthcare services. - Follows-up with members and providers to reputed company on reputed company 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 (PBM) reports to track general trends in drug utilization and identify potential targeted utilization management activities. - Works with healthcare services team (e.g., data managers, care managers, etc.) on member-centered interdisciplinary teams. - May prepare drug monographs and utilization reports for the Pharmacy and Therapeutics (P&T) committee. - Assists leadership in developing/updating policies and procedures, and implementing changes to reputed company with state and federal regulations.
- *Required Qualifications**
- At least 3 years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager(PBM), and/or managed care setting, or equivalent combination of relevant education and experience. - Doctor of Pharmacy (PharmD). License must be active and unrestricted in applicable state(s) of practice. - Demonstrated knowledge and expertise in clinical pharmacology and disease management. - Clinical skills reputed company to Medication Therapy Management (MTM). - Demonstrated knowledge of best practices in Medication Therapy Management Program (MTMP) reputed company disease states. - reputed company knowledge and expertise in clinical pharmacology and disease management. - Ability to present reputed company and information concisely to varied audiences. - Knowledge of processes and systems, and ability to reputed company and deliver necessary training to departmental staff and internal customers. - Ability to develops and maintain positive and effective work relationships with coworkers, members, providers, regulatory agencies and vendors. - Proficiency in compiling data, creating reports and presenting information. - Ability to meet established deadlines. - Functions independently and manages multiple projects. - Excellent verbal and written communication skills. - reputed company Office suite (including reputed company), and applicable software program(s) proficiency.
- *Preferred Qualifications**
- Board Certified Ambulatory Care Pharmacist (BCACP). - American Pharmacist's Association Medication Therapy Management (MTM) certificate. - Medicaid and/or Medicare experience. - Clinical skills or pharmacotherapy expertise for Medication Therapy Management Programs (MTMP) reputed company conditions and medications. - Experience with team-based care. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V #PJPharm Pay Range: $80,412 - $188,164 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.
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