Clinical Pharmacist

About the role

This position is responsible for and participates in a wide range of provider, patient, employer initiatives and programs. The pharmacist supports all lines of business which include Medicare, Commercial, Exchange (Marketplace), and Medicaid and manages quality, appropriateness, safety, and cost for those member populations.

Responsibilities

• Serves as a representative of FLRx pharmacy management on specific quality/disease management initiatives.
• Conducts evaluations, prepares reports and recommendations on plan, member, provider, and employer prescribing profiles as a member of the Drug Utilization Review (DUR) team.
• Participates in and may take leadership on specific utilization evaluation projects.
• Serves as a key contact and clinical pharmacy consultant on medication issues for all internal staff/departments.
• Supports Employer Clinical Consultation Team and Sales/Marketing in serving as a clinical pharmacy expert for our employer clients.
• Supports Community Providers (prescribers, physicians, pharmacy) by providing comprehensive support both directly to the providers and indirectly to the pharmacy help desk/customer service by assisting them with questions and issues arising from the community.
• Assists pharmacy and other health care students involved in experiential rotations in the department.
• Serves as a participant in the Drug Information (DI) program by supporting/covering the provider and/or member information hotline, answering questions, conducting literature searches, and formulating drug information responses and documents.
• Develops clinical information documents intended for a wide range of uses, including committee support, database application, newsletters, TIP sheets, etc.
• Performs telephonic Comprehensive Medication Reviews with members enrolled in the MTM program.
• Participates in the MTM core team meeting to help maintain and improve the program.
• Works with leadership to develop clinical programs that can assist with improving STAR measures, reducing hospital admissions, and improving outcomes.
• Develops written documents for members and providers regarding drug therapy strategies such as inappropriate use, over/under utilization, gaps in care, etc.

Qualifications

• Pharmacy Degree and NY State Licensure for a newly graduated clinical pharmacist with internship experience in an organized health care setting or in a practice environment with direct physician interaction, clinical practice, data analysis, and/or benefit interpretation process experience.
• Strong customer service orientation and the ability to interface effectively with internal and external customers.
• Fundamental knowledge of drug information process/references and ability to conduct research.
• Strong clinical pharmacy experience including participation in patient management initiatives.
• Able to serve as a professional, articulate, and knowledgeable liaison to internal and external organizations, to foster positive relationships with our vendor/partners, and to appropriately advocate for the corporation.
• Strong computer skills.
• Proficient knowledge of Microsoft Word and Excel.
• Excellent verbal and written communication skills with experience communicating with patients (our members) and health care professionals.
• Knowledge and skill to conduct a thorough drug regimen review.
• Strong clinical knowledge base, kept current through continuing education and professional affiliations.
• Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job-related responsibilities.
• Strong computer skills.
• Able to learn new systems.
• Basic knowledge of CMS minimum standards for MTM services is desired.

Skills

• High problem-solving abilities, recognizes problems, develops problem-solving strategies, and evaluates the effectiveness of solutions.
• Ability to travel frequently across New York State and neighboring areas is required. Some travel required out of area. Must have the ability to travel.