Qualifications:
Qualifications:
Education Required:
• Bachelor of Science in Pharmacy
Preferred/Desirable:
• Doctor of Pharmacy.
• Residency training
• Commission for Certification in Geriatric Pharmacy (CCGP) or Board of Pharmaceutical Specialties (BPS) certification in Geriatrics
• Board of Pharmaceutical Specialties (BPS) certification in Pharmacotherapy
Experience: • 3+ years clinical experience or completion of an accredited residency program.
• 1+ years of prior experience with Medicare Part D Preferred/Desirable: • 1+ years of prior managed care experience
• Pharmacy & Therapeutics Committee experience • Providing drug therapy recommendations to prescribers
Certification or Conditions of Employment:
• Pre-employment background check
• Valid unrestricted licensure as a pharmacist in the Commonwealth of Massachusetts Competencies,
Skills, and Attributes:
• Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states.
• Proficient in Microsoft Office applications, particularly MS Outlook, MS Word, and MS Excel.
•Strong oral and written communication skills
• Ability to interact with multiple levels of internal employees and external contacts including prescribers. • Able to work in fast paced environment
• Strong analytical and clinical problem solving skills
• Detail-oriented and able to manage multiple priorities
• Ability to review & analyze data.
Working Conditions and Physical Effort:
• Occasional travel (<5%) may be required.
•Fast paced office environment.
• Light on-call coverage • Regular and reliable attendance.
Responsibilities:
Job Summary: Reporting to the Manager of Pharmacy Services, Senior Care Options, the SCO Clinical Pharmacist II is primarily responsible for supporting the Medicare Part D clinical programs and daily operations. In addition the Clinical Pharmacist II will support resolution of member/provider inquiries, utilization management reviews, clinical program design and implementation, and SCO formulary management. The SCO Clinical Pharmacist II will interface with physicians, nurses, internal employees, and PBM representatives. Key Functions/Responsibilities: • Maintain knowledge on all CMS regulations as they pertain to Medicare Part D and Medicare Part B medications • Provide clinical support of daily operations to the SCO Pharmacy Technician, including responding to member and provider inquiries and utilization management activities as required • Work in conjunction with the Manager of Pharmacy Services, Senior Care Options on quality improvement activities and initiatives, including those that support requirements to meet CMS Medicare Part D standards and other state and federal regulations and contracts • Collaborate with SCO Care Management team to provide pharmacy support in identifying, resolving and preventing medication related problems. May include direct outreach and performing one-on-one consultations with high risk members and providers. • Assist in the administration of the Plan's clinical pharmacy programs which include medication assessments to address indications, effectiveness, safety and adherence. • Key participant on clinical and quality initiatives that address industry and regulatory health-related issues • Work with the PBM and internal departments to identify areas of potential cost-saving and quality improvement initiatives. • Participate on clinical committees as necessary. • Assist Manager of Pharmacy Services, Senior Care Options with oversight of PBM. • Communicate effectively with internal and external constituents (physicians, pharmacies, etc.) regarding the SCO pharmacy program and processes Supervision Exercised: • May supervise junior pharmacy support staff Supervision Received: • General supervision received weekly. • Performance and goals assessed quarterly
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Last updated on Apr 17, 2018