Clinical Pharmacist (Care & Medication Therapy Management)

Job Description

Position Purpose:
Utilize client formulary information and member specific benefits to guide appropriate medication recommendations
Be aware of current and emerging clinical trends and educate clinical team, physicians and other prescribers
Participate in the development of educational materials that may be presented as education intervention programs
Collaborate with physicians and other prescribers by reviewing patients drug profiles to help safeguard against new prescriptions having unintended side effects and by working with prescribers to assure that the drugs prescribed are eligible for coverage; are low cost, high quality products
Outreach to physicians to clarify medication regimens and make recommendations
Support care and pharmacy clinical staff by working with PBM and retail pharmacies to resolve access issues for specialty drugs
Responsible for performing comprehensive and targeted medication reviews to identify, resolve, and prevent medication-related problems for targeted members
Conduct research and analysis to identify cost management and process/quality improvement opportunities
Support quality department to improve HEDIS metrics on projects related to medication adherence and routine health visits
Provide clinical recommendations pertaining to, but not limited to gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution and generic substitution