Buffalo, NY, 14211, USA
5 days ago
Clinical Review & MTM Pharmacist
**FIND YOUR FUTURE** We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Clinical Review & Medication Therapy Management Pharmacist will be responsible for completing prior authorization reviews and assisting in formulary management, pharmacy and therapeutics committee activities, communication with physicians and pharmacists, and communication with staff on departmental policies and procedures. On call duties are a requirement of the job. They will also be responsible for completing work to support Independent Health’s Medicare MTM program and pharmacy quality initiatives for our Medicare, Commercial and MediSource lines of business as needed. This will be done through interactive telephonic and/or claims review of targeted patients' prescription, medical and laboratory claims history to identify opportunities to improve therapeutic outcomes and reduce the risk of adverse events. The Pharmacist will contact identified patients to provide education and coaching as well as to identify potential opportunities to improve patient care. Additionally, they will work with prescribers to facilitate appropriate changes to medication regimens. **Qualifications** + Bachelor’s degree required. PharmD preferred. Licensed to practice pharmacy in the state of New York required. + Five (5) years of pharmacy experience required. Professional experience providing pharmaceutical care services or MTM experience preferred. + PC and windows skills required. Proficiency with pharmacy computer systems preferred. + Excellent written and verbal communication skills with experience communicating with other health care professionals. + Knowledge and skill to conduct a thorough drug regimen review. Strong clinical knowledge base kept current through educational endeavors and professional affiliations, strong comprehension of pharmaceutical managed care issues. + Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable. **Essential Accountabilities** + Assist in formulary management through knowledge of all aspects of the prior authorization process and clinical protocols, policies and procedures required to administer the pharmacy benefit with consistency and expediency. + Prepare communication as required. + Demonstrate knowledge of clinical protocols, policies and procedures required to perform drug regimen reviews. + Provide education to members on the telephone listening for potential opportunities for improvement in drug regimen. + Work with prescribers to facilitate appropriate changes in drug regimen. _Immigration or work visa sponsorship will not be provided for this position_ Hiring Compensation Range: $120,000 - $145,000 annually _Compensation may vary based on factors including but not limited to skills, education, location and experience._ In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future. _As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law._ _Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information)_ _for additional EEO/AAP_ _or Reasonable Accommodation_ _information._ Current Associates must apply internally via the Job Hub app. The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation. Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community. We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog. We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports. **Apply today and join us on the journey to a happier, healthier, and more inclusive community.** We are a drug-free workplace. We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221. _Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us._
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