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Pharmacist - Health Plan Specialist
2 months ago
The pharmacist provides routine and emergency comprehensive and accurate drug screening, information, processing, and dispensing services for various drug distribution systems to the centers.
Management skills and accuracy are required to ensure that the appropriate drug product reaches the customer efficiently and safely.
Key Responsibilities- Conduct activities to ensure safe and cost-effective medication use, including monitoring medication patterns, identifying potential misuse or overuse, and implementing interventions as needed.
- Participate in quality improvement initiatives aimed at enhancing medication-related outcomes, such as medication adherence and safety.
- Educate healthcare providers within the network about the health plan's formulary, coverage policies, and medication-related initiatives to ensure alignment with best practices and optimize patient care.
- Review medication requests that require prior authorization to ensure they meet clinical criteria for coverage.
- Develop and manage the formulary, which is the list of medications covered by the health plan.
- Bachelor of Science in Pharmacy or Pharm. D. degree
- Current license to practice pharmacy in good standing
- Proficient in the area of clinical interpretation: drug-drug, drug-disease, drug-food interactions and allergies
- Perform accurately and efficiently when dispensing prescription medications
- Knowledgeable about long term care regulations (OBRA, OSHA, state laws and other federal laws) that have an impact upon both pharmacy and Center operations
