Clinical Pharmacist
ProCare Rx
Date: 1 day ago
City: Southfield, MI
Contract type: Full time
Job Details
Description
PRINCIPLE RESPONSIBILITIES include but are not limited to:
Requires sitting, standing and occasional light lifting.
Description
PRINCIPLE RESPONSIBILITIES include but are not limited to:
- Oversee clinical functions in relation to Workers’ Compensation and Auto No-Fault programs.
- Maintain client clinical relationships including regularly scheduled meetings and review.
- Maintain drug formularies that adhere to state regulations.
- Provide monthly updates to WC/Auto team regarding changes in regulations, formulary drugs, and injury-specific drug changes.
- Maintain WC/Auto Rebate Program.
- Provide review and evaluation of utilization data for areas of improvement for both clinical impact and cost-effectiveness of the pharmacy program for renewals.
- Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.
- Ensure appropriate quality controls and initiate opportunities for performance improvement in pharmacy/practice.
- Advise the Client Services/Sales team on pharmacy drug utilization review (DUR) issues.
- Serve as Clinical Liaison with the Client Services Implementation team.
- Participate in the quarterly Pharmacy & Therapeutics Review Committee.
- Develop and/or implement clinical pharmacy programs in collaboration with client retention initiatives.
- Coordinate all efforts related Plan/Patient Assistance programs related to client management.
- Maintain professional and technical knowledge by conducting research and by attending educational and technological workshops.
- Provide supportive clinical/data information for the Quoting/Analytics division.
- Generate reporting on performance metrics related to client savings etc.
- Assist with pharmacy claim audits as needed.
- Monthly client utilization reviews.
- Duties as assigned.
- Education:
- Bachelor’s degree in pharmacy from an accredited college of pharmacy.
- Advanced education in pharmacy (Pharm D) a plus
- Experience:
- Minimum five years experience in retail or hospital pharmacy
- Clinical pharmacy experience in managed healthcare preferred.
- Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, pharmacies and plan members.
- Proficient PC skills in Windows-based applications.
- Highly organized with strong attention to detail and the ability to manage multiple priorities.
- Ability to be flexible and quickly adapt to the changing needs in the department.
Requires sitting, standing and occasional light lifting.
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