Population Health Clinical Pharmacist
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Job Description
Population health clinical pharmacist managing medication therapy and adherence for Banner Health Medicare Advantage members. Supporting pharmacy quality, utilization management, and clinical outcomes remotely in Arizona.
Responsibilities:
- Provide comprehensive medication management and medication adherence support for Medicare Advantage populations
- Perform Comprehensive Medication Reviews and other medication therapy management interventions
- Evaluate medication regimens to optimize therapeutic effectiveness and identify and resolve medication-related problems
- Prevent adverse events and support individualized medication therapy goals
- Conduct medication adherence monitoring and outreach
- Identify adherence barriers and collaborate with patients and healthcare providers
- Document clinical interventions and outcomes
- Meet quality, productivity, CMR, and medication adherence goals
- Manage pharmacy services for commercial, Medicare, and Medicaid populations
- Analyze pharmacy and medical claims reporting and clinical and economic data
- Define, implement, and manage clinical pharmacy programs and services
- Conduct utilization management reviews and adjudicate prior authorization requests and appeals
- Participate in multidisciplinary appeals and grievance reviews
- Communicate with members, providers, staff, leaders, and executives about pharmacy issues and programs
- Apply continuous quality improvement principles
- Collaborate on data extracts for pharmacy utilization management and audit functions
- Participate in student and resident learning experiences as a preceptor
Requirements:
- Must possess a degree in Pharmacy from an accredited College of Pharmacy
- Completion of an accredited PGY1 pharmacy residency program or three years of previous clinical pharmacy experience in the managed care, community pharmacy, or ambulatory care setting
- Current and unrestricted pharmacy licensure in the applicable state of practice within 90 days of hire date
- Arizona incumbents must provide the AZ Board of Pharmacy Wallet Card at time of hire
- Typically 2 years of managed care/health plan or pharmacy benefits experience
- Effective human relations and verbal/written communication skills
- Ability to work collaboratively with community-based practitioners and the senior population
- Understanding of health plan pharmacy components, members, and providers
- Proficiency with PC-based productivity tools, including spreadsheets, word processing, and email
- Analytical ability to support decision making
- Organizational ability to manage multiple tasks and projects by established deadlines
Benefits:
- Remote work
- Monday–Friday, standard business hours
- Continuing education
- Student and resident learning experiences
- Preceptor opportunities
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