Clinical Pharmacist Specialist
4 weeks ago
The Accede Solutions Inc team is seeking a highly skilled Travel Pharmacist to join our team in Tysons, VA. As a Travel Pharmacist, you will play a critical role in facilitating the review of clinical documentation and the Preferred Drug list (PDL) to determine proper medication therapy.
Key Responsibilities:- Clinical Evaluation: Conduct clinical evaluations of medication therapy using established clinical or PDL criteria, drug compendia, and appropriate methods that support the principles of high-quality evidence-based medicine.
- Peer-to-Peer Discussions: Engage in peer-to-peer discussions with medical providers to discuss Prior Authorization reviews.
- Consultations and Interventions: Collaborate with staff to contact prescribers needing consultation to provide clinical information on prescribing practices that have been identified as outliers. Review prior authorizations data and determine opportunities for interventions.
- Intervention Refinements: Collaborate on the refinement of consultation scripting; solicit and utilize input from those contacted toward scripting improvements.
- Operations: Contribute to the success of the Clinical Call Centers and Prior Authorization department by assisting with the implementation and management of both written and verbal communications to members and physicians. Be available for consultation on pharmacy-related questions and issues for others within the organization.
- Quality Improvement: Contribute to program improvements by using continuous quality improvement processes, being proactive in identifying improvement opportunities, and contributing ongoing consultation and collaboration with product leaders.
- Medical/Clinical: Uphold clinical integrity of pharmaceutical solutions by staying up to date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors, Clinical Pharmacist, and Clinical Specialty Pharmacist to provide pharmacy expertise.
- Drug Review: Provide clinical input during the weekly drug file updates, making recommendations on applying utilization controls.
- Other Duties: Perform other duties as assigned. Contribute creative solutions to improve operational efficiency and effectiveness of the pharmacy team.
- Experience: Experience in the coordination of and collaboration of work teams is preferred.
- Clinical Reviews: Ability to perform clinical reviews using relevant compendia and clinical trial data.
- Managed Care Experience: Managed care pharmaceutical service experience is a plus.
- Research and Implementation Skills: Strong research and implementation skills in practical settings.
- Analytical Skills: Analytical skills that can translate into practical and pragmatic recommendations.
- Team Orientation: Strong team orientation with respect for all members.
- People Skills: People skills are essential to successfully consult and collaborate with internal and external stakeholders who do not directly report to this job.
- Education: PharmD or B.S. in Pharmacy with relevant Specialty background.
- Licensure: Registered Pharmacist with respective State Licensure.
- Experience: 4 years' experience in clinical pharmacy.
- Communication Skills: Strong verbal and written communications skills.
- Technical Skills: Highly skilled with Microsoft office products and ability to quickly learn proprietary systems.
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Clinical Pharmacist
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