Pharmacist - Case and Disease Management (CMDM) - Remote
3 weeks ago
Pharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough research to evaluate the patient and extensive clinical judgement and discretion to provide recommendations for closing the gap in care. The incumbent may interact with the patient or care giver, physician, and/or pharmacist through the intervention. Essential Responsibilities: Review gaps in care for high risk patients as part of a multi-disciplinary team. Conduct research including gathering claims data, reviewing clinical websites, etc. to thoroughly evaluate each patient's unique situation to provide the appropriate clinical recommendation. Contact patients, care givers, physicians, pharmacists, etc. to intervene on identified gaps of care using a high level of clinical judgement and discretion. Other duties as assigned. Education: Required: Bachelor's Degree in Pharmacy Substitutions: None Preferred: Doctorate in Pharmacy Experience: Required: 5 - 7 years in Pharmacy + 3 - 5 years in Pharmacist - Utilization Management + 3 - 5 years in Pharmacist - Medical Therapy Management Required experience can be reduced from 3-5 to 1-2 years if the candidate completed a clinical residency program Preferred: None Licenses and Certifications: Required: Registered Pharmacist Preferred: None Skills: Oral & Written Communication Skills Telephone Skills Problem Solving & Decision Making Compliance Collaborative Problem Solving Language (Other than English): None Travel Requirement: 0% - 25% Physical, Mental Demands and Working Conditions: Position Type: Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. Pay Range Minimum: $78,900.00 Pay Range Maximum: $147,500.00 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Little Rock, United States Remote Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Little Rock, AR, United States Remote Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Little Rock, United States Arkansas Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Little Rock, United States Arkansas Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Little Rock, United States Arkansas Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Little Rock, AR, United States Arkansas Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Little Rock, AR, United States Arkansas Staffing Full timePharmacist Position Company: Highmark Inc. Job Summary: This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease...
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Remote Pharmacist
6 days ago
Little Rock, United States Actalent Full timeDescription Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will complete these reviews independently amongst a team of your peers and other pharmacy professionals. Quality and performance are measured by monthly quality and...
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Remote Pharmacist
1 week ago
Little Rock, AR, United States Actalent Full timeDescription Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will complete these reviews independently amongst a team of your peers and other pharmacy professionals. Quality and performance are measured by monthly quality and...
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Remote Pharmacist
1 week ago
Little Rock, AR, United States Actalent Full timeDescription Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will complete these reviews independently amongst a team of your peers and other pharmacy professionals. Quality and performance are measured by monthly quality and...
