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Pharmacist - Health Plan Specialist
2 months ago
We are seeking a skilled Pharmacist to join our team in a Health Plan setting. As a key member of our team, you will play a vital role in promoting safe and effective medication use while supporting the overall goals of the health plan in improving member health outcomes.
Key Responsibilities- Conduct activities to ensure safe and cost-effective medication use, including monitoring medication patterns 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.
- Active Registered Pharmacist License
- 2 years of experience as a Pharmacist
- 1 year within a Managed Care setting
