Population Health Clinical Pharmacist

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Deliver thorough medication management and adherence support for Medicare Advantage populations.

• Conduct Comprehensive Medication Reviews and implement various medication therapy management strategies.

• Assess medication regimens to enhance therapeutic effectiveness and identify as well as resolve medication-related issues.

• Prevent adverse events while supporting personalized medication therapy objectives.

• Carry out medication adherence monitoring and outreach initiatives.

• Identify barriers to adherence and work collaboratively with patients and healthcare providers.

• Document clinical interventions and their outcomes.

• Achieve quality, productivity, CMR, and medication adherence targets.

• Oversee pharmacy services for commercial, Medicare, and Medicaid populations.

• Analyze pharmacy and medical claims reporting alongside clinical and economic data.

• Define, implement, and manage clinical pharmacy programs and services.

• Conduct utilization management reviews and adjudicate prior authorization requests and appeals.

• Take part in multidisciplinary appeals and grievance reviews.

• Communicate effectively with members, providers, staff, leaders, and executives regarding pharmacy matters and programs.

• Employ continuous quality improvement principles.

• Collaborate on data extracts for pharmacy utilization management and auditing processes.

• Engage in student and resident learning experiences as a preceptor.

⛳️ Requirements

• A degree in Pharmacy from an accredited College of Pharmacy is required.

• Completion of an accredited PGY1 pharmacy residency program or three years of relevant clinical pharmacy experience in managed care, community pharmacy, or ambulatory care settings.

• Current and unrestricted pharmacy licensure in the applicable state of practice must be obtained within 90 days of the hire date.

• Arizona candidates are required to present the AZ Board of Pharmacy Wallet Card upon hire.

• Typically, a minimum of 2 years of experience in managed care, health plans, or pharmacy benefits is preferred.

• Strong human relations and effective verbal/written communication skills are essential.

• Ability to collaborate effectively with community-based practitioners and senior populations.

• Understanding of health plan pharmacy components, members, and providers is necessary.

• Proficiency in PC-based productivity tools, including spreadsheets, word processing, and email is required.

• Analytical skills to support informed decision-making are crucial.

• Strong organizational skills to manage multiple tasks and projects within established deadlines.

🏝️ Benefits

• Opportunity for remote work.

• Monday to Friday, standard business hours.

• Access to continuing education opportunities.

• Involvement in student and resident learning experiences.

• Availability of preceptor opportunities.