Pharmacy Resident
ProAct - PBM · East Syracuse, NY · 3 wk ago
Healthcare$60k–$65k/yrFull-time
Scope of Responsibilities
- Identify, develop, and execute clinical and cost savings programs for clients based upon review of utilization data, current trends, and industry offerings.
- Perform cost avoidance analysis to demonstrate a return on ProAct and/or client investment.
- Perform patient and prescriber outreach to complete clinical interventions, including but not limited to leveraging the following software and programs: PA Hub/PromptPA, Clinical Optimization, Diabetes Management, Medication Therapy Management, and Aprexis.
- Maintain and update clinical criteria associated with prior authorization software as it relates to formulary changes.
- Review prior authorizations and appeals against the formulary and clinical criteria for ProAct members as needed.
- Develop and present educational programs to ProAct clients and other business partners.
- Monitor for compliance with all policies and procedures and regulatory issues impacting role in the organization.
- Leverage available resources (i.e., UpToDate, Clinical Pharmacology, Pharmacist Letter, IPD Analytics, Pipeline/Trend Reporting) to remain current on industry topics.
- Collaborate with the Kinney Patient Care Center on communication and reporting relating to on-site flu clinics for ProAct clients.
Requirements
- PharmD Degree from an accredited College of Pharmacy
Qualifications
- Experience in clinical account management, drug utilization management, data analysis, formulary management, and Medication Therapy Management (MTM).
Skills
- Software proficiency in PA Hub/PromptPA, Clinical Optimization, Diabetes Management, Medication Therapy Management, and Aprexis.
- Strong communication and interpersonal skills.
- Ability to analyze data and make informed decisions.
- Knowledge of industry trends and regulatory requirements.
Pay
$60,000 - 65,000 per year. The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
Schedule
N/A