Jobs · Healthcare · New York

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

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