Clinical Pharmacist – Managed Care

• Conducting clinical reviews to optimize drug therapy for health plan members across medical and pharmacy benefit channels.
• Utilize sound knowledge of member and/or client benefit design to inform drug therapy recommendations at an individual or population level.
• Administration and management of pharmacy programs including applying knowledge of utilization/formulary management programs, specialty pharmacy management, medication therapy management, data analysis, client relationships/support, and development of innovative clinical programs.
• Work directly with a multi-disciplinary team to advise plan members and providers in an effort to improve health outcomes.

• Registered Pharmacist in the States of operation (NM, IL, TX, MT).
• Experience using window-based word processing, spreadsheet and relational database software.
• Drug information skills.
• Strong Verbal and written communication skills.
• Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques.
• Knowledge of medication use evaluation principles.
• Ability to remain at a workstation and perform computer entry for long periods of time, as required.
• Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management

Demonstrates expertise in clinical reviews and drug therapy optimization, with a strong foundation in pharmacy program management and data analysis. Proficient in communication and collaboration within multi-disciplinary teams to enhance health outcomes for plan members.

• Registered Pharmacist
• Clinical Review
• Pharmacy Program Management
• Drug Information Skills
• Data Analysis

• Utilization Management
• Formulary Management
• Medication Therapy Management
• Medication Use Evaluation
• Pharmacoeconomics

• Verbal Communication
• Written Communication
• Issue Resolution
• Professionalism
• Multi-Priority Management

• Registered Pharmacist in NM
• Registered Pharmacist in IL
• Registered Pharmacist in TX
• Registered Pharmacist in MT

• Health Plan
• Pharmacy Benefit
• Quality Improvement Processes
• Clinical Programs
• Client Relationships

• Word Processing Software
• Spreadsheet Software
• Relational Database Software