Pharmacist - Case and Disease Management; CMDM - Remote

Position: Pharmacist - Case and Disease Management (CMDM) - Remote

Company

Highmark Inc.

Job Summary

This role is part of a product-line specific multidisciplinary team (MA, ACA, Commercial) to close gaps in care for high-risk members. Through the team, patients who have high-risk gaps related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent researches and evaluates the patient, applying clinical judgement to provide recommendations for closing care gaps.

Interaction with patients, caregivers, physicians, and pharmacists may occur during interventions.

Essential Responsibilities

• Review gaps in care for high-risk patients as part of a multidisciplinary team and conduct research, including gathering claims data and reviewing clinical resources to evaluate each patient's situation and propose appropriate clinical recommendations.
• Contact patients, caregivers, physicians, pharmacists, and other stakeholders to intervene on identified gaps of care using clinical judgement and discretion.
• Perform other duties as assigned.

Education

Required
:

• Bachelor's Degree in Pharmacy

Preferred
:

• Doctorate in Pharmacy

Substitutions

• None

Experience

Required (can be reduced to 1-2 years with a clinical residency):

• 5-7 years in Pharmacy
• 3-5 years in Pharmacist - Utilization Management
• 3-5 years in Pharmacist - Medical Therapy Management

Preferred
:

• None

Licenses and Certifications

Required
:

• Registered Pharmacist

Preferred
:

• None

Skills

• Oral & Written Communication Skills
• Telephone Skills
• Problem Solving & Decision Making
• Compliance
• Collaborative Problem Solving

Language (Other than English)

None

Travel Requirement

0% - 25%

Physical, Mental Demands and Working Conditions

Position Type:
Office-based.

Occasional travel from the office to various work sites or from site-to-site.

Lifting: 10 to 50 pounds (varies from constant to occasionally).

Pay Range Minimum

$92,300.00

Pay Range Maximum

$

EEO Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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