Clinical - Clinical Pharmacist 1 - 210392

Mindlance

  • Remote-FL, FL
  • 17 days ago
  • Remote

    Highlights

    Candidate Requirements Education/Certification Required: B.S. in Pharmacy or PharmD Preferred: Licensure Required: required to be licensed in state of residence Preferred: Years of experience required: at least 2 years MTM experience. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

    Numbers & Facts

    LocationRemote-FL, FL (
    Remote
    )

    Description

    Job Profile Summary
    Position Purpose: Define and develop standard and custom formularies for assigned plan.

    Education/Experience: Bachelor s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

    Licenses/Certifications: Current state s Pharmacist license with no restrictions.

    Responsibilities
    " Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
    " Monitor prior authorization requests
    " Provide clinical support to internal departments and address clinical related questions
    " Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
    " Develop and implement programs designed to impact DUR for both Medicaid and Medicare
    " Develop, implement, and maintain policies and procedures for the pharmacy department
    " Participate in the coordination of the Medicare MTM program
    " Assist case management team with members including clinical rounds presentations

    EEO:

    Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

    ==================

    Job Profile Summary
    Position Purpose: Define and develop standard and custom formularies for assigned plan.

    Education/Experience: Bachelor s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

    Licenses/Certifications: Current state s Pharmacist license with no restrictions.

    Responsibilities
    " Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
    " Monitor prior authorization requests
    " Provide clinical support to internal departments and address clinical related questions
    " Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
    " Develop and implement programs designed to impact DUR for both Medicaid and Medicare
    " Develop, implement, and maintain policies and procedures for the pharmacy department
    " Participate in the coordination of the Medicare MTM program
    " Assist case management team with members including clinical rounds presentations
    Story Behind the Need
    • What is the purpose of this team?
    • What is driving this need? (ex. Backfill for FTE or CW, new project, business growth)
    • Describe the surrounding team (team culture, work environment, etc.) & key projects.
    • Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
    We provide medication reviews for members that have qualified for one of our pharmacy clinical programs. Currently we have a clinical program expanding and need additional support temporarily. No further hiring needs.
    Typical Day in the Role
    • Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
    • What are performance expectations/metrics?
    • What makes this role unique?
    Pharmacist will be expected to review a patient s medical information and pharmacy claims for gaps in care, drug therapy problems, etc. Expectation is 90% productivity daily.
    Candidate Requirements
    Education/Certification Required: B.S. in Pharmacy or PharmD Preferred:
    Licensure Required: required to be licensed in state of residence Preferred:
    Years of experience required: at least 2 years MTM experience

    Disqualifiers: Not having MTM experience

    Additional qualities to look for:NA
    • Top 3 must-have hard skills stack-ranked by importance
    1 Work independently
    2 Critical thinking
    3 Clinical skill
    Candidate Review & Selection
    • Shortlisting process
    • Candidate review & selection
    • Interview information
    • Onboard process and expectations
    Projected Manager Candidate Review Date: 1-2 days post shortlisting

    Type of Interviews:
    Teams
    Required Testing or Assessment (by Vendor): na
    Next Steps
    • Do you have any upcoming PTO?
    No
    • Colleagues to cc/delegate
    None

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