Job Description

Payrate: $40.00 - $42.00 /hr

Specific Job Requirements:

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 manage 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.

Essential Duties and Job Functions:

• Quality/Disease management: 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.

Preferred Education/Qualifications

• Pharmacy Degree and NY State Licensure for a newly graduated clinical pharmacist with internship experience in an organized health care setting or in a practice environment with direct physician interaction, clinical practice, data analysis and/or benefit interpretation process experience
• Must possess strong customer service orientation and the 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 participation in patient management initiatives
• Able to serve as a professional, articulate and knowledgeable liaison to internal and external organizations, to foster positive relationships with our vendor/partners, and to appropriately advocate for the corporation
• Strong computer skills. Proficient knowledge of Microsoft Word and Excel
• Excellent verbal and written communication skills with experience communicating with patients (our members) and health care professionals
• Knowledge and skill to conduct a thorough drug regimen review. Strong clinical knowledge base, kept current through continuing education and professional affiliations
• Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities
• Strong computer skills. Able to learn new systems
• Basic knowledge of CMS minimum standards for MTM services is desired.

MTM Focus:

• Perform telephonic Comprehensive Medication Reviews with members enrolled in the MTM program
• Participates in the MTM core team meeting to help maintain and improve the program
• Perform physician outreach for the CMS mandated Opioid DUR initiative
• Work with leadership to develop clinical programs that can assist with improving STAR measures, reduce hospital admissions and improve outcomes
• Develop written documents for members and providers regarding drug therapy strategies such as inappropriate use, over/under utilization, gaps in care, etc.

Physical Requirements:

• Normal office environment, with work outside of normal office hours required at times
• Significant time spent at a computer and using the telephone
• Frequent faced paced environment requiring ability to effectively manage multiple projects at the same time, while maintaining attention to details and accuracyFrequent variation in tasks, at times responds to problems/emergencies or is given special projects
• Very high level of interpersonal interaction. Frequent to constant interaction outside immediate work area and with external customers
• Very high profile position with significant contact with outside vendors, providers and customers at the highest levels
• Ability to travel frequently across New York State and neighboring areas is required. Some travel required out of area.

Pay Transparency:

The typical base pay for this role across the U.S. is: $40.00- $42.00/hr. Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education and experience and the benefits package you select. Full-time employees are eligible to select from different benefits packages. Packages may include medical, dental, and vision benefits, 10 paid days off, 401(k) plan participation, commuter benefits and life and disability insurance.

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Aditi Consulting LLC uses AI technology to engage candidates during the sourcing process. AI technology is used to gather data only and does not replace human-based decision making in employment decisions. By applying to this position, you agree to Aditi’s use of AI technology including calls from an AI Voice Recruiter.

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