Pharmacist Professional Clinical

2 weeks ago

Schenectady, New York, United States MVP Health Care Full time
Job Title: Professional Clinical Pharmacist

We are seeking a highly skilled and experienced Professional Clinical Pharmacist to join our team at MVP Health Care. As a key member of our pharmacy team, you will play a critical role in providing exceptional patient care and contributing to the development of innovative healthcare solutions.

Key Responsibilities:
  • Perform prospective and/or retrospective coverage determinations in accordance with MVP pharmacy and/or medical policy coverage criteria and state and/or federal regulations, with appropriate notification to physician, member, and vendor.
  • Perform activities associated with Medication Therapy Management, including evaluating member medication use, developing and implementing a medication action plan, and documenting applicable interventions in MTM software.
  • Evaluate and identify aberrant prescribing patterns from prescription and medical claims data, with potential physician consultation.
  • Supply drug-related and benefit information to member services, provider relations, utilization management, and medical directors.
Requirements:
  • BS degree in Pharmacy or Pharm. D.
  • Current registration and licensure by New York State Board of Pharmacy or ability to obtain licensure prior to employment.
  • Minimum of 3 years as a licensed, practicing pharmacist in a retail practice or 2 years in a non-dispensing clinical practice, or managed care or other clinical residency.
  • Minimum of 2 years in a healthcare environment or managed care pharmacy, or residency preferred.
  • Ability to work well in a team environment with internal and external staff, practitioners, and members.
  • Exceptional clinical skills and ability to independently apply sound clinical judgment to a variety of situations.
  • Superior attention to detail and time management skills.
  • Familiarity with healthcare benefits, pharmacy, and medical terminology, and pharmacy claims adjudication process.
  • Curiosity to foster innovation and pave the way for growth.
  • Humility to play as a team.
  • Commitment to being the difference for our customers in every interaction.
What We Offer:
  • Growth opportunities to uplevel your career.
  • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team.
  • Competitive compensation and comprehensive benefits focused on well-being.
  • An opportunity to shape the future of healthcare by joining a team recognized as a Best Place to Work and one of the Best Companies to Work For in New York.

We are an equal opportunity employer and welcome applications from diverse candidates. If you have a passion for wellness advocacy, quality improvement, and pharmacotherapy, we encourage you to apply for this exciting opportunity to join #TeamMVP.

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