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Clinical Pharmacist

Company: Wellcare
Location: Phoenix
Posted on: May 26, 2019

Job Description:

Clinical Pharmacist Provides clinical services to health plan members through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate, evidence-based drug selection and resolve medication-related problems. May provide clinical services to general population or within specific therapeutic areas. Assists in the daily operational activities of clinical programs through supervision of technicians and input into program services and execution strategies. Provides support of clinical pharmacy services for the health plan as requested by serving as a resource for drug information. Essential Functions: Provides clinical services to enrolled members in assigned lines of business. May includes counseling patients and offering recommendations to physicians regarding medication-related problems. Examples clinical services include: Comprehensive Medication Reviews (CMR), targeted-medication related problem notifications, adherence programs, member and/or physician related communications (i.e. educational newsletters), drug utlilization review analysis, P&T monographs, drug information requests, prior authorization processing, particpation in appeals case review. Accurately document and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area (i.e. Medication Therapy Management services, Quality Improvement Projects, Drug Exception Review, etc.) Supervises technicians/coordinators in regards to compliance, productivity and quality assurance goals by monitoring the daily actions of each associate to ensure that departmental policies and procedures are applied to services provided the department. Provides call center supervision including (but not limited to) decisions made by associate in regards to unit's roles and responsibilities, monitoring of inbound and outbound call volume, service level, and average call handle time (if applicable). Handles escalated member calls related to questions or concerns about drug therapy and/or clinical services Provides clinical pharmacy services for the health plan including, but not limited to Pharmacy Operations, Pharmacy Formulary, Pharmacy Quality and Utilization Management Assists in development and execution of department standard operating procedures, step action plans/workflows, training materials, and other documents as required Provides clinical instruction to pharmacy students/pharmacy residents as assigned to clinical area Performs other duties as assignedLocation: Phoenix, AZ Department: Pharmacy-MTMP Reports to: Manager, Medication Therapy ManagementEducation Level Education Details Required/Preferred A Bachelor's Degree in Pharmacy Required A Doctor of Pharmacy (PharmD) Pharmacy Preferred or equivalent work experience PGY-1 Residency Program completion PreferredWork Experience State the minimum required for the job Experience Level Experience Details Required/Preferred 1 year of experience in Drug therapy management activities Required 1 year of experience in Supervision of technicians Required 1 year of experience in Exposure to managed care (student rotations acceptable). RequiredLicenses and Certifications List professional licenses and certifications associated with this job Licenses/Certifications Other Licenses/Certifications Required/Preferred Other Licensed pharmacist in state of operation Required Other Board Certification (i.e. BCPS) or other designations (i.e. CGP) PreferredSkills State the minimum required for the job Skill Sets Other Skills Proficiency Demonstrated interpersonal/verbal communication skills Advanced Demonstrated written communication skills Intermediate Ability to influence internal and external constituents Intermediate Other Ability to evaluate information from both oral and written sources and develops clear, concise and crisp reports. Intermediate Other Ability to use pharmaceutical/medical literature to provide drug information to the health plan, patients, and prescribers. IntermediateTechnology List technical skills associated with the job Technology Other Technology Proficiency Required/Preferred Microsoft Excel Intermediate Required Microsoft Word Intermediate Required Microsoft PowerPoint Intermediate Required Microsoft Outlook Intermediate Required Healthcare Management Systems (Generic) Intermediate RequiredLanguages List all that apply Languages Other Languages Required/Preferred Spanish PreferredAbout usHeadquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at . EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: Wellcare, Phoenix , Clinical Pharmacist, Healthcare , Phoenix, Arizona

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