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Pharmaceutical Care Specialist
2 months ago
Clinical Pharmacist - Medicare
Location: Remote Opportunity
Join our dedicated Pharmacy Team as a Clinical Pharmacist - Medicare in a managed care environment. This role is pivotal in enhancing the quality of pharmacy services and improving health outcomes for our members.
Key Responsibilities:
- Design, execute, and oversee clinical pharmacy initiatives, including medication therapy management, adherence strategies, and chronic disease management.
- Conduct comprehensive drug utilization reviews (DUR) to ensure optimal medication practices.
- Engage in utilization and authorization assessments in accordance with established guidelines, assist in developing cost-effective pharmacy strategies, and provide oversight of Pharmacy Benefits Manager (PBM) operations.
- Collaborate with healthcare professionals regarding prescription medications and therapeutic interventions.
About Our Team:
Our mission focuses on enhancing member health outcomes through effective care coordination, medication management, and adherence strategies, in partnership with our internal teams and community stakeholders.
Essential Qualifications:
- Knowledge: Familiarity with drug utilization reviews, Medicare Part D regulations, formulary management, and medication therapy management (MTM) services.
- Skills: Ability to serve as a technical resource, interpret complex regulations, and develop innovative solutions for pharmacy-related challenges.
- Education and Experience: Active California Pharmacist license, Doctor of Pharmacy (Pharm. D.) degree, and a minimum of three years of relevant experience in a health plan, hospital, or retail pharmacy setting.
Additional Information:
- This position operates in a hybrid work model, with remote interviews conducted via Microsoft Teams.
- Attendance at company-wide events or departmental meetings may be required periodically.
Compensation: The compensation range for this role varies by location, reflecting our commitment to equitable pay based on qualifications and experience.
Benefits: We offer a comprehensive benefits package for employees working over 30 hours per week, including medical, dental, and vision plans, generous paid time off, and retirement savings options.
About Us: At Central California Alliance for Health, we are a dedicated team committed to providing accessible, quality healthcare. Our culture values respect, diversity, and professionalism, empowering our employees to make a meaningful impact in the communities we serve.
We are an equal opportunity employer, welcoming applicants from diverse backgrounds and experiences.
