Clinical Pharmacist
Location: Metairie, Louisiana
Description: Peoples Health, Inc. is currently interviewing Clinical Pharmacist right now, this position will be ordered in Louisiana. Detailed specification about this position opportunity kindly read the description below.
Principal Responsibilities
- Participates in the review of coverage determination and organizational determination requests as they relate to coverage under Medicare Part D and Medicare Part B.
- Assists in the analys is of pharmacy claims processing issues as required, including interactions with pharmacy benefit management (PBM) provider representatives.
- Aids the Chief Medical Officer and Medical Directors in research of drug information to support denials or approvals of prior authorization claims.
- Assists Pharmacy Benefit Coordinators in providing clinical information in regards to the drug benefit of PH as to determine an appropriate decision making process.
- Serves on the Interdisciplinary Care Team (ICT) managing Special Needs Population (SNP) members.
- Coordinates and monitors the Medication Therapy Management Program (MTMP) required by Medicare Part D.
- Provides direct member and provider interaction including but not limited to participation in PH coordinated clinic visits, health fairs, and telephonic comprehensive medication reviews with members.
- Addresses inquiries from case managers, social workers and discharge pla nners by providing medication information on members as needed
- Addresses clinical inquiries from members related to drug and pharmacy benefit information
- Assists with the implementation of targeted PH medication initiatives.
- Actively participates in preceptorship duties for assigned Doctorate of Pharmacy Candidates (Pharmacy Interns).
- Other projects and duties assigned by the Clinical Pharmacist Manager, Director of Clinical Pharmacy Services and Director of Pharmacy Operations
Core Competencies
- Professionalism
- Strong interpersonal, written and oral communication skills.
- Projection of a positive, willing attitude.
- Excellent organizational skills and attention to detail and accuracy.
- The ability to work collaboratively across functional groups as well as independently.
- Ability to work in a fast paced environment with competing priorities.
- Possess a relia ble means of transportation.
- Able to disseminate significant amounts of information
- Commitment to providing exceptional quality service to our members, providers, customers, and staff
- Ability to work effectively and cooperatively with all staff
- Ability to prioritize duties and complete in a timely manner.
Experience/Education
- BS Degree or Pharm D. with at least 3 years experience in a clinical setting. Completion of pharmacy residency training is preferred, with special consideration given for those completing a program with an emphasis in Drug Information.
- Experience with Word, Excel, Outlook, PowerPoint and Windows Filing Techniques.
- Competency with real-time, on line pharmacy authorization software.
- Familiarity with a Medicare Advantage Plan environment with emphasis on Medicare Part D.
Lice nsure/Certification
- Licensed as a registered pharmacist in the state of Louisiana or demonstrate an ability to obtain licensure in the state of Louisiana.
Physical Demands/Working Conditions
- Must be able to travel to areas covered by PH Medicare Advantage Plan.
- On-call responsibilities as needed.
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If you were eligible to this position, please deliver us your resume, with salary requirements and a resume to Peoples Health, Inc..
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This position will be opened on: Wed, 02 May 2018 02:04:58 GMT