Clinical Pharmacist

Overview

The Clinical Pharmacist is responsible for support of the formulary process, utilization management criteria development and application, drug utilization review, Fraud Waste and Abuse, and member and provider education. The Clinical Pharmacist analyzes clinical data from multiple sources to assist in developing pharmacotherapy recommendations that encompass population health, quality management, and care management. The Clinical Pharmacist provides direct patient care related to medication prescribing, administration, and monitoring within a care team model and provides clinical expertise to assist the care team in completion of their duties. This individual also participates in focused medication studies as applicable.

Qualifications

EDUCATIONAL REQUIREMENTS
Doctorate Pharmacy or an RPh; three years of clinical experience in lieu of Pharm.D.

CERTIFICATION & LICENSURE REQUIREMENTS
Licensed Pharmacist Illinois.Board certification in Ambulatory Care or completion of an Ambulatory Care residency preferred.

EXPERIENCE REQUIREMENTS
None specified

SKILLS AND KNOWLEDGE
Must possess critical thinking skills and be able to analyze and solve complex problems. Ability to communicate clearly and professionally with internal and external customers, including other healthcare professionals. Ability to anticipate and take corrective action in response to market changes, including but not limited to, new to market therapies, pharmacy regulations, and prescribing patterns. Ability to maintain a credible professional image with physicians and other health care providers. Proficiency with MS products including Excel, Word and Powerpoint.

Responsibilities

• Performs utilization management reviews.
• Serves as drug information resource for other departments.
• Assists with creation and maintenance of administrative and utilization management policies.
• Assists Compliance Department with identifying and investigating potential fraudulent or inappropriate practices.
• Maintains current knowledge of and ensures compliance with government and commercial regulations.
• Additional functions as needed including but not limited to PBM reporting, review of fraud waste and abuse reports, and project based work.
• Conduct medication reviews at the request of member, provider, or Care Coordinator.
• Serve as a subject matter expert for various committee or subcommittees requiring pharmacy knowledge.
• Perform provider and member outreach calls as needed to close identified gaps in care.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation‘s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world‘s first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee‘s Form I-9 to confirm work authorization. | For more information: .

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