Clinical Pharmacist - Pharmaceutical Services (Short-Term Assignment)

About the role

This is a short-term assignment. What you can expect! The Clinical Pharmacist – Pharmaceutical Services is responsible for providing patient-specific medication reviews and developing recommendations for medical drug utilization management (RxUM), Medication Therapy Management (MTM), medication adherence, pharmacy clinical quality, including but not limited to, HEDIS, MCAS and STARS measures, and member issue resolution. This position will resolve medication and pharmacy issues for members who are triaged to pharmacy from the Member Services Call Center or other internal departments. The Clinical Pharmacist – Pharmaceutical Services will communicate verbal and written clinical recommendations to members, prescribers, and pharmacies. The Clinical Pharmacist – Pharmaceutical Services will serve as a subject matter expert for audits, projects, quality improvement process enhancements, LEAN projects and other IEHP initiatives. The position may be assigned to a specific area or work in multiple areas on a rotating basis. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Responsibilities

• Provide patient-specific medication reviews
• Develop recommendations for medical drug utilization management (RxUM), Medication Therapy Management (MTM), medication adherence, and pharmacy clinical quality (HEDIS, MCAS, STARS measures)
• Resolve medication and pharmacy issues for members triaged from the Member Services Call Center or other internal departments
• Communicate verbal and written clinical recommendations to members, prescribers, and pharmacies
• Serve as a subject matter expert for audits, projects, quality improvement process enhancements, LEAN projects, and other IEHP initiatives
• Work in a specific area or rotate across multiple areas as needed

Requirements

• Two (2) or more years of experience in a managed care pharmacy setting – OR – successful completion of a one (1) year Pharmacy Managed Care residency
• One (1) year of medical drug prior authorization and/or Medication Therapy Management experience preferred
• Doctor of Pharmacy (Pharm. D.) from an accredited institution required
• Possession of an active, unrestricted, and unencumbered Registered Pharmacist license issued by the California State Board of Pharmacy required

Qualifications

• Strong clinical baseline knowledge of current medical treatment protocols and clinical practice guidelines
• Working knowledge of regulatory standards and timelines for Medi-Cal, Medicare, and Covered California lines of business
• Bilingual preferred
• Proficiency with health plan electronic medical records systems (i.e. MHK, Meditrac)
• Excellent written and verbal communication skills
• Strong drug information research skills
• Excellent communication and interpersonal skills
• Detail oriented