Clinical - Clinical Pharmacist 1 - 210392

Job Profile Summary
Position Purpose: Define and develop standard and custom formularies for assigned plan.

Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

Licenses/Certifications: Current state’s Pharmacist license with no restrictions.

Responsibilities
• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• Monitor prior authorization requests
• Provide clinical support to internal departments and address clinical related questions
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare
• Develop, implement, and maintain policies and procedures for the pharmacy department
• Participate in the coordination of the Medicare MTM program
• Assist case management team with members including clinical rounds presentations

EEO:

“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

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Job Profile Summary Position Purpose: Define and develop standard and custom formularies for assigned plan. Education/Experience: Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. Licenses/Certifications: Current state’s Pharmacist license with no restrictions. Responsibilities • Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated • Monitor prior authorization requests • Provide clinical support to internal departments and address clinical related questions • Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice • Develop and implement programs designed to impact DUR for both Medicaid and Medicare • Develop, implement, and maintain policies and procedures for the pharmacy department • Participate in the coordination of the Medicare MTM program • Assist case management team with members including clinical rounds presentations
Story Behind the Need
What is the purpose of this team? What is driving this need? (ex. Backfill for FTE or CW, new project, business growth) Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?		We provide medication reviews for members that have qualified for one of our pharmacy clinical programs. Currently we have a clinical program expanding and need additional support temporarily. No further hiring needs.
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are performance expectations/metrics? What makes this role unique?			Pharmacist will be expected to review a patient’s medical information and pharmacy claims for gaps in care, drug therapy problems, etc. Expectation is 90% productivity daily.
Candidate Requirements
Education/Certification	Required: B.S. in Pharmacy or PharmD				Preferred:
Licensure	Required: required to be licensed in state of residence				Preferred:
Years of experience required: at least 2 years MTM experience Disqualifiers: Not having MTM experience Additional qualities to look for:NA
Top 3 must-have hard skills stack-ranked by importance			1	Work independently
			2	Critical thinking
			3	Clinical skill
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations			Projected Manager Candidate Review Date:			1-2 days post shortlisting
			Type of Interviews:			Teams
			Required Testing or Assessment (by Vendor):			na
Next Steps
Do you have any upcoming PTO?			No
Colleagues to cc/delegate			None