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Pharmaceutical Care Specialist

2 months ago

Bend, Oregon, United States PacificSource Full time


Are you passionate about enhancing patient care and ensuring access to essential medications? Join PacificSource as a Pharmaceutical Care Specialist and contribute to our mission of providing quality, affordable healthcare solutions.

PacificSource is committed to diversity and inclusion, welcoming applicants from all backgrounds. We ensure equal opportunity employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, or disability status.


Diversity and Inclusion:
At PacificSource, we value the unique perspectives and experiences of our team members. We strive to create an inclusive workplace where every individual’s talents and strengths are recognized and utilized.

The Pharmaceutical Care Specialist plays a crucial role in the Pharmacy Services Department, overseeing daily operations such as pharmacy coverage decisions, policy development, and member benefit coordination.

This position involves active participation in the Pharmacy & Therapeutics (P&T) Committee, where you will review and present evaluations of new medications, drug classes, and relevant policies.

Additionally, you will ensure compliance with all applicable state and federal regulations, serving as a clinical resource for internal staff and external partners as needed.



Key Responsibilities:
  • Evaluate drug coverage requests for members enrolled in PacificSource Health Plans.
  • Communicate effectively with members, healthcare providers, and internal teams through various channels, including clinical consultations and written correspondence.
  • Support clinical meetings with stakeholders as required.
  • Review and update prescription formularies based on current clinical guidelines.
  • Participate in P&T Committee meetings, preparing and presenting materials for discussion.
  • Lead or assist in assigned projects to enhance departmental functions.
  • Stay informed about relevant state and federal regulations affecting health insurance coverage.
  • Keep abreast of quality measures relevant to Pharmacy Services.
  • Monitor emerging clinical trends to inform practice.


Additional Responsibilities:
  • Provide backup support for team members and departmental operations.
  • Collaborate with the Clinical Pharmacy Manager to refine processes and improve service delivery.
  • Represent the Pharmacy Services Department in various internal and external engagements.
  • Adhere to departmental performance and attendance standards.
  • Follow PacificSource privacy policies and HIPAA regulations to maintain confidentiality.
  • Perform other duties as assigned.


Qualifications:
  • Minimum of three years of experience in a pharmacy-related role is preferred.
  • Experience in managing complex workflows and collaborating within a multidisciplinary team is highly desirable.
  • Registered pharmacist with a Pharm D degree or Bachelor of Science in Pharmacy is required. Additional state-specific certifications may be necessary.
  • Post-graduate training (e.g., Residency, Fellowship, MBA, BCPS) is preferred.


Skills and Knowledge:
  • Ability to adapt and prioritize tasks in a fast-paced environment.
  • Strong attention to detail and knowledge of pharmaceutical services regulations.
  • Proficient in assessing treatment alternatives and emerging drug technologies.
  • Excellent verbal and written communication skills.
  • Proficient in Microsoft Office Suite.
  • Ability to work independently and collaboratively with minimal supervision.


Work Environment:
This position is primarily office-based, requiring the ability to sit or stand for extended periods and perform repetitive tasks such as typing and filing. Occasional travel may be required.