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Clinical - Clinical Pharmacist 1 - 210392
Mindlance
🇺🇸 United States
Remote
Manager or above
1 week ago
- PharmD
- prior authorization
1 week ago
Not enough detail in this posting to match
Position Purpose: Define and develop standard and custom formularies for assigned plan.
Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2 years of mail order, retail, hospital or managed care pharmacy experience or 1 years of pharmacy residency program experience.
Licenses/Certifications: Current state’s Pharmacist license with no restrictions.
Responsibilities
• 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
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
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Job Profile Summary Position Purpose: Define and develop standard and custom formularies for assigned plan. Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2 years of mail order, retail, hospital or managed care pharmacy experience or 1 years of pharmacy residency program experience. Licenses/Certifications: Current state’s Pharmacist license with no restrictions. Responsibilities • 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 | ||
| Story Behind the Need | ||
| 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. No further hiring needs. | |
| Typical Day in the Role | ||
| 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. | |
| Candidate Requirements | ||
| Education/Certification | Required: B.S. in Pharmacy or PharmD | Preferred: |
| Licensure | Required: required to be licensed in state of residence | Preferred: |
| Years of experience required: at least 2 years MTM experience Disqualifiers: Not having MTM experience Additional qualities to look for:NA | ||
| 1 | Work independently |
| 2 | Critical thinking | |
| 3 | Clinical skill | |
| Candidate Review & Selection | ||
| Projected Manager Candidate Review Date: | 1-2 days post shortlisting |
Type of Interviews: | Teams | |
| Required Testing or Assessment (by Vendor): | na | |
| Next Steps | ||
| No | |
| None |
Clinical - Clinical Pharmacist 1 - 210392 · Mindlance