Managed Care Pharmacist - Medical Benefit Utilization Management - Remote

Department :

11215 System Pharmacy - Utilization Management

Status : Full time

Benefits Eligible : Yes

Hou rs Per Week : 40

Schedule Details / Additional Information :

Hours are Monday through Friday 8 : 00 AM to 4 : 30 PM Central Time, with occasional need for required meetings before or after these standard business hours. No weekends.

In this role of a managed care pharmacist, you will apply evidence-based medication use strategies to enhance patient and population health outcomes while optimizing limited healthcare resources. You will assess the appropriateness of specialty medications for safety, efficacy, and cost, and determine medical necessity according to evidence-based criteria and / or guidelines in accordance with payer policy. Prior experience in managed care pharmacy, oncology and / or specialty pharmacy, and medical / pharmacy benefit P&T committee work is preferred.

Remote work is NOT permitted for

short or long periods in : CA, DC, CO, CT, HI, MA, MD, MN, NJ,

NY, OR, RI, VT, WA

Pay Range

$53.80 - $80.70

Major Responsibilities :

Oversees pharmaceutical care, including retrieving and evaluating biomedical literature and designing medication therapy regimens

Uses effective patient education techniques to provide counseling to patients and caregivers, including information on medication therapy, adverse effects, compliance, appropriate use, handling, and medication administration

Designs, recommends, monitors, and evaluates patient specific pharmacotherapeutic regimens based on relevant biomedical literature. Implements recommendations effectively and utilizes policies and procedures and documents in the appropriate format.

Reviews and accurately interprets medication orders and prescriptions

Participates in the management of medical emergencies when applicable

Actively supports department medication safety and quality improvement activities, including the reporting of events through appropriate channels

Performs quality assurance and performance improvement of the medication use system as appropriate

Collaborates with the healthcare team to manage formulary adherence and the medication-use process. Assists in the acquisition of non-formulary, compassionate use, and investigational medications.

Practices in compliance with organization's policies and procedures, as well as local, state, and federal regulations

Prepares, dispenses, and oversees the proper storage and handling of medications in accordance with best practice, policies and state and federal regulations

Serves as preceptor for pharmacy students, residents, and healthcare learners as assigned

Mentors, orients, trains, and assists with the performance evaluation of pharmacy teammates, residents, and students as assigned

Directs and checks the accuracy of the work of pharmacy support team members in accordance with the organization's policies and procedures to ensure safe and efficient workflows, service standards, and regulatory compliance

Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his / her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and / or Certification Required :

Licensed in the state(s) of practice or eligible for reciprocity required

Immunization and non-vaccine injectable certification required based on area of practice

Credentialing and privileging required based on area of practice

Education Required :

Bachelor's or Doctorate degree in pharmacy from an ACPE-accredited school of pharmacy required, or an FPGEC certificate from NABP

Experience Required :

No experience required.

Knowledge, Skills & Abilities Required :

Maintains skills in area of practice

Strong computer skills

Excellent communication and organization skills

Excellent presentation, facilitation, and training development skills

Demonstrates decision making, team building, customer service, and conflict resolution skills

Life support training courses may be required dependent on department discretion

Physical Requirements and Working Conditions :

Requires considerable walking, standing, pushing mobile cart of 50 pounds maximum and lifting 35 pounds of material without assistance

Exposed to various conditions throughout the workday such as walking on hard surfaces, climbing stairs and changes in temperature and humidity

May be required to frequently stretch, bend, squat, or kneel to perform job

Utilizes appropriate personal protective equipment (PPE) to minimize exposure to hazardous agents

Takes necessary precautions to avoid inadvertent needle sticks, minor cuts or bruises

Must be able to perform manipulative skills such as writing, typing, and data entry into the computer and automated dispensing machines

Must have use of both hands, be able to see clearly and read small font such as that on unit-dose medication packages and syringes

Must have functional speech, vision, and hearing

Operates all equipment necessary to perform the job

Exposed to normal office environment

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Our Commitment to You :

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including :

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and / or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.