Pharmacist, Clinical​/Medication Therapy Management; Remote PST

Position: Pharmacist, Clinical/Medication Therapy Management (Remote PST)
Molina Healthcare is hiring  
** 4 Remote Pharmacists
** to support our Medication Therapy Management (MTM) and clinical pharmacy services activities. This role contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.

Bilingual Spanish is a plus but not required.

** Schedule & Work Environment*
* + Monday-Friday, 9:00-5:30 Pacific Standard Time

+ No weekends, holidays, or expected overtime

+ Highly autonomous, self-directed role

** Ideal Background*
* + MTM experience within an MCO preferred

+ Retail experience

+ Strong organization, initiative, and problem-solving skills

+ Ability to manage and prioritize a high-volume workload

If you're comfortable working independently and enjoy helping members navigate their medication needs, this is a great opportunity.

** Interviews are underway - apply today.*
* ** Essential

Job Duties *
* + Facilitates Medication Therapy Management (MTM) support including examination of member medical records, comprehensive medication reviews, and communication with members and providers (includes outbound calls to members to discuss medications).

+ Reviews member medication profiles and applies evidence-based medicine and national guidelines when creating recommendations for health care providers for optimization of member medication regimens.

+ Analyzes and reviews medication lists for potential patient safety issues, including drug interactions, suboptimal medication regimens, etc.

+ Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines through various modalities (provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case-by-case interventions).

+ Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed.

+ Performs prior authorization reviews of high-cost medications and deferred authorization requests as needed.

+ Research, develops, and implements drug utilization and disease state management strategies and intervention techniques to deliver high quality, cost effective health care.

+ Assists in coordination of care for pharmacy-related issues between members, providers and other members of the member's interdisciplinary care team (ICT), including referrals to state plan healthcare services.

+ Follows-up with members and providers to check on progress toward meeting drug treatment goals.

+ Serves as a drug information resource to pharmacy staff, medical affairs staff, and providers.

+ Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug utilization and identify potential targeted utilization management activities.

+ Works with healthcare services team (e.g., data managers, care managers, etc.) on member-centered interdisciplinary teams.

+ May prepare drug monographs and utilization reports for the Pharmacy and Therapeutics (P&T) committee.

+ Assists leadership in developing/updating policies and procedures and implementing changes to comply with state and federal regulations.

** Required Qualifications*
* + At least 3 years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager(PBM), and/or managed care setting, or equivalent combination of relevant education and experience.

+ Doctor of Pharmacy (Pharm

D). License must be active and unrestricted in applicable state(s) of practice.

+ Demonstrated knowledge and expertise in clinical pharmacology and disease management.

+ Clinical skills related to Medication Therapy Management (MTM).

+ Demonstrated knowledge of best practices in Medication Therapy Management Program (MTMP) related disease states.

+ Current knowledge and expertise in clinical pharmacology and disease management.

+ Ability to present ideas and information concisely to varied audiences.

+ Knowledge of processes and systems, and ability to develop and deliver necessary training to departmental staff and internal customers.

+ Ability to develop and maintain positive and effective work relationships with coworkers, members, providers, regulatory agencies and vendors.

+ Proficiency in compiling data, creating reports and presenting information.

+ Ability to meet established deadlines.

+ Functions independently and manages multiple projects.

+ Excellent verbal and written communication skills.

+ Microsoft Office suite (including Excel), and applicable software program(s) proficiency.

** Preferred Qualifications*
* + Board Certified Ambulatory Care Pharmacist (BCACP).

+ American Pharmacist's Association Medication Therapy Management (MTM) certificate.

+ Medicaid and/or Medicare experience.

+ Clinical skills or pharmacotherapy expertise for Medication Therapy Management Programs (MTMP) related conditions and medications.

+

Experience with team-based care.

To all current Molina employees:
If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare…