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
Custom Fields:
Name: Field Worker
Value: No
Name: Shortlisting Date
Value: None
Name: Which Health Plan, programs or functions will this work support?
Value: None