Pharmacist - Patient Care Coordinator

7 days ago


Bloomfield, Connecticut, United States The Cigna Group Full time
About the Role

The Clinical Pharmacist will be responsible for providing pharmaceutical care services to ambulatory care patients in a clinical setting. This includes promoting appropriate, safe, and cost-effective drug therapy to improve patients' quality of life.

Key Responsibilities
  • Provide Direct Patient Care: Provide face-to-face or telephonic pharmaceutical care services to patients, including medication therapy monitoring and disease state management counseling.
  • Document Interventions: Document pharmaceutical interventions within the electronic medical record.
  • Assist Patients and Physicians: Assist patients and physicians with medication profiles and facilitate prior authorization as related to patient and point of care need.
  • Maintain Physician Engagement: Maintain significant physician engagement and support within an assigned geographic area.
  • Develop Educational Materials: Assist in the development and presentation of educational materials for patients and providers.
  • Respond to Inquiries: Respond to phone inquiries (including but not limited to drug information, eligibility, health plan navigation) for both internal and external customers.
  • Conduct Analysis: Proactively conduct analysis of care setting drug utilization data to identify trends, develop strategies, and implement comprehensive programs to improve patient outcomes.
  • Implement Health Plan Initiatives: Utilize available data to implement health plan pharmacy initiatives, such as HEDIS/Star measures and Medication Therapy Management Program (MTMP).
  • Utilize Pharmacy Benefit Manager Resources: Utilize Pharmacy Benefit Manager resources and maintain comprehensive knowledge base on all health plan pharmacy benefits.
  • Serve as Clinical Preceptor: Serve in the capacity of clinical preceptor to provide oversight of students and/or residents to execute specific outreach programs including HEDIS/Star measures, MTMP, and other initiatives.
  • Participate in Patient Rounds: Participate in patient rounds as a member of the multidisciplinary care team where applicable.
Requirements
  • PharmD or Bachelor's Degree in Pharmacy: PharmD or Bachelor's degree in Pharmacy with advanced degree.
  • Registered Pharmacist in State of TX: Registered Pharmacist in state of TX.
  • Three or More Years of Pharmacy Experience: Three or more years of pharmacy experience.
  • Knowledge of Computer Applications: Knowledge of computer applications, including pharmacy claims systems.
  • Knowledge of Regulatory Requirements: Knowledge of regulatory requirements with emphasis on Medicare.


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