Clinical Pharmacist, Medicare Clinical Programs Specialist
2 weeks ago
About the Role:
The Clinical Pharmacist, Medicare Clinical Programs is a key member of our team, responsible for working with prescribers, members, and an interdisciplinary team to enhance the care of BCBSMA members with high-cost or multiple chronic co-morbid conditions requiring complex medication regimens.
This role will support care management with identifying and resolving drug-related problems for participants, and assist the Pharmacy Department in the measurement of program objectives and outcomes for the program.
The clinical pharmacist will also be responsible for continued education for internal teams on various pharmacy-related topics, including Stars.
Your Key Responsibilities:
- Provide care management in reviewing and evaluating drug information for adherence, disease-specific case management collaboration, medication reconciliation, and polypharmacy to identify potential medication therapy problems and recommend appropriate solutions for identified patients.
- Communicate directly with members to help identify and answer any drug-related questions as needed.
- Provide in-service education on pharmacy-related topics to care management staff and other associated teams.
- Supports and participates in Medicare Case Management rounds.
- Conduct comprehensive medication reviews for eligible members.
- Educate patients about their medications, conditions, and pharmacy benefits to achieve optimal participant care outcomes.
- Collaborate with Pharmacy Benefit Manager (PBM) clinical team and internal BCBSMA departments to align priorities and execute initiatives.
- Assist in the creation and delivery of presentations and communications for various internal and external projects and meetings.
- Engage and follow-up with providers on identified interventions.
- Special projects as assigned.
What We're Looking For:
- Unrestricted current and valid license to practice pharmacy in the state of Massachusetts.
- Graduate of an ACPE-accredited School of Pharmacy with a PharmD or related work experience.
- Minimum of 2-3 years' experience functioning as a clinical pharmacist in a managed care or hospital setting.
- Experience in direct supervision of technical support staff for clinical and/or service and operational programs is desirable.
- Intermediate to advanced proficiency in standard computational office-suite applications, including Microsoft Word, Excel, and PowerPoint, and relational database manipulation is highly preferred.
Why Blue Cross Blue Shield of Massachusetts?
We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path.
We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.
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