Clinical Pharmacist

We're Hiring: Clinical Pharmacist!

We are seeking a dedicated and knowledgeable Clinical Pharmacist to join our healthcare team.

Location: Rochester, NY

Work Mode: Work From Office

Role: Clinical Pharmacist

Summary Description

Utilization Management (UM) Focus:

The clinical pharmacist position is responsible for and participates in a wide range of provider, patient, employer initiatives and programs. The pharmacist supports all of our lines of business which include Medicare, Commercial, Exchange (Marketplace), and Medicaid, and manages quality, appropriateness, safety and cost for those member populations.

Medication Therapy Management (MTM) Focus

The MTM Pharmacist will be responsible for reviewing targeted patients' prescription and medical claims history to identify opportunities to improve therapeutic outcomes & reduce the risk of adverse events. The primary function will be telephonic consultations with our members to provide education & coaching as well as to identify potential opportunities to improve patient care. The position will also require interaction with prescribers to facilitate appropriate changes to medication regimens.

Quality/Disease Management

Essential Resource Responsibilities / Accountabilities:

• Serves as a representative of FLRx pharmacy management on specific quality/disease management initiatives.
  
  

Drug Utilization Review

• As a member of the DUR team, conducts evaluations and prepares reports and recommendations on plan, member, provider, and employer prescribing profiles.
• Participates in and may take leadership on specific utilization evaluation projects.
  
  

Staff, Provider, Employer Group, And Customer Service

• Internal Staff/Departments: Serves as a key contact and clinical pharmacy consultant on medication issues.
• Employer Group Support/Consultation: Supports Employer Clinical Consultation Team and Sales/Marketing in serving as a clinical pharmacy expert.
• Community Providers: Provides comprehensive support to providers and assists the pharmacy help desk/customer service with provider/member/pharmacy personnel inquiries.
• Provides guidance, instruction, and mentoring of pharmacy and other healthcare students.
  
  

Drug Information Services

• Supports the provider and/or member information hotline, answers questions, conducts literature searches, and formulates responses.
• Serves as a resource to internal and external customers for specific therapeutic topics.
• Assists in development of clinical information documents for various uses (committee support, database, newsletters, TIP sheets, etc.).
  
  

MTM Focus

• Performs telephonic Comprehensive Medication Reviews with members enrolled in the MTM program.
• Participates in MTM core team meetings.
• Performs physician outreach for CMS-mandated Opioid DUR initiatives.
• Works with leadership to develop clinical programs to assist with improving STAR measures, reducing admissions, and improving outcomes.
• Develops written documents for members and providers regarding drug therapy strategies (e.g., inappropriate use, over/under-utilization, gaps in care).
  
  

Minimum Resource Qualifications:

• Pharmacy Degree and NY State Licensure for a newly graduated clinical pharmacist with internship experience in an organized healthcare setting or direct physician interaction, clinical practice, data analysis and/or benefit interpretation.
• Strong customer service orientation and ability to interface effectively with internal and external customers.
• Fundamental knowledge of drug information process/references and ability to conduct research.
• Strong clinical pharmacy experience including patient management initiatives.
• Ability to serve as a professional and knowledgeable liaison, advocate for the corporation, and foster vendor/partner relationships.
• Strong computer skills; proficient in Microsoft Word and Excel.
• Excellent verbal and written communication skills; experience communicating with members and healthcare professionals.
• Knowledge and skill to conduct thorough drug regimen reviews.
• Maintains confidentiality and uses only necessary PHI.
• Basic knowledge of CMS minimum standards for MTM services is desired.
  
  

Physical Requirements:

• Normal office environment, with occasional work outside regular hours.
• Significant computer and phone use.
• Fast-paced environment with need to manage multiple projects with accuracy.
• Frequent external interaction; high-profile role with provider/vendor/customer contact.
• Ability to travel frequently across New York State and neighboring areas, including some out-of-area travel.
• High-level problem-solving skills and strategy development.