Clinical Pharmacist

4 weeks ago


New York, New York, United States Health First Full time
Job Summary:

As a Clinical Pharmacist - Care Coordination Specialist at Health First, you will play a vital role in supporting initiatives to resolve gaps in care through direct provider and member outreach, collaboration with provider engagement, and leveraging our pharmacy network capabilities.

Key Responsibilities:

Ensure that all recommendations are consistent with the latest guidelines or otherwise supported by the clinical compendia

Provide clinical pharmacy support to pharmacy technicians as they conduct outreaches to members regarding medication adherence, resolve existing barriers to adherence, and use motivational interviewing to improve the health of our members

Collaborate internally with Marketing, IT, and Enterprise Analytics to assist with the creation of strategic digital communication channels for member outreach

Identify and resolve same-day grievances reported by members in a timely manner consistent with our policies and procedures

Oversee and maintain compliance with all State and Federal agencies

Precept Pharmacy Residents and Students

Ensure all clinical criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department of Health (NYSDOH)

Research drug information to maintain drug knowledge and disease state understanding

Review monthly reports and provide feedback on trends, ideas for efficiency, and innovation

Additional duties as assigned or required

Requirements:

Pharmacy degree from an accredited school of pharmacy

Registered Pharmacist, with a state license in good standing

Work experience requiring written and verbal clinical communication that is clear, concise, grammatically correct, and professional

Knowledge of specialty pharmaceuticals and billing practices in the medical and pharmacy benefits

Preferred Qualifications:

Bilingual in English and one or more language(s): Spanish, Mandarin, Cantonese may be required based on business needs

Ability to work well in a team environment and be a team player

Demonstrated critical thinking and problem-solving skills

Passion for learning, promoting the profession of pharmacy, and interest in growing skills in a dynamic environment with various opportunities

Knowledge of regulations of the Centers for Medicare and Medicaid Services including but not limited to National and Local Coverage Determinations

Ability to lead large and small working meetings

PC Skills with Microsoft Outlook, Word, PowerPoint (creating presentations and slides), and Excel (Pivot tables)

Compliance & Regulatory Responsibilities:

Assists in regulatory and compliance audits for all plans. Ensure all activities are conducted in compliance with regulations.

License/Certification:

Licensed pharmacist in good standing

Health First is an equal opportunity employer.

  • New York, New York, United States SUNY Downstate Health Sciences University Full time

    Ambulatory Care Clinical PharmacistSUNY Downstate Health Sciences University is seeking a full-time Ambulatory Care Clinical Pharmacist to provide pharmacy services for patients in adult outpatient clinics.The ideal candidate will have a Doctorate of Pharmacy (PharmD) from an accredited College of Pharmacy and New York State Pharmacist Licensure or...


  • New York, New York, United States AtlantiCare Full time

    About the JobThe Pharmacist in this role will be responsible for ensuring accurate and timely medication distribution and other pharmaceutical supplies according to established procedures and standards. This will be in support of high-quality patient care at AtlantiCare's Anticoagulation Clinic.As a Pharmacist, you will interpret, evaluate and verify...


  • New York, New York, United States Memorial Sloan Full time

    Exciting Opportunity at Memorial Sloan Kettering:We are seeking a highly skilled Floater Pharmacist to join our team at the Main Campus Hospital.Role Overview:The successful candidate will serve as a fully integrated member of the Pharmacy Department, providing advanced clinical pharmacy services to patients.Key Responsibilities:Provide expert clinical...


  • New York, New York, United States ABD RxCare Inc Full time

    At ABD RxCare Inc, we are seeking a highly skilled Senior Clinical Pharmacist Leader to join our team on an as-needed basis.Job Summary:We are looking for a seasoned pharmacist with exceptional leadership skills and clinical expertise to oversee the dispensing of medications prescribed by physicians and other healthcare...


  • New York, New York, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled and dedicated Pharmacist to join our team. As a key member of our pharmacy team, you will play a critical role in delivering exceptional patient care and ensuring the highest level of quality and safety in our pharmacies.Key ResponsibilitiesProvide clinical guidance and support to patients and healthcare...

  • Clinical Pharmacist

    4 weeks ago


    New York, New York, United States AIDS Healthcare Foundation Full time

    About the RoleAIDS Healthcare Foundation is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will contribute to the delivery of high-quality patient care and play a key role in expanding primary care functions of pharmacists.Key ResponsibilitiesProvide individualized health promotion and disease prevention...

  • Clinical Pharmacist

    4 weeks ago


    New York, New York, United States US Tech Solutions Full time

    Job Summary:The clinical pharmacist is a key role in our organization, responsible for conducting clinical reviews of medical data to perform prior authorization for specialty medications. This position requires the application of clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.The clinical pharmacist will...

  • Clinical Pharmacist

    4 weeks ago


    New York, New York, United States Rite Aid Full time

    Job SummaryThe Clinical Pharmacist position is responsible for providing clinical support to customers through all clinical programs offered to our customers, including adherence, immunizations, and MTM interventions.This position is responsible for ensuring compliance with regulatory guidelines, company policies, and procedures.ResponsibilitiesSupport...

  • Clinical Pharmacist

    4 weeks ago


    New York, New York, United States US Tech Solutions Full time

    Job Summary:The Clinical Pharmacist will conduct clinical reviews of medical data to perform prior authorization for specialty medications. This role requires a strong understanding of clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.The Clinical Pharmacist will collaborate with the CRU Technician to process...


  • New York, New York, United States Walgreens Full time

    Job SummaryWe are seeking a highly skilled and compassionate Pharmacist (Full or Part Time) to join our team at Walgreens. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and clinical expertise in a fast-paced retail pharmacy environment.Key ResponsibilitiesProvide accurate and timely dispensing of...


  • New York, New York, United States Capital Rx Full time

    Job Summary:Capital Rx is seeking a skilled Clinical Pharmacist to join our team in reviewing clinical coverage determinations and appeals for various lines of business, including Commercial and Medicare. As a Clinical Pharmacist, you will be responsible for evaluating and reviewing appeals requests, rendering coverage determinations based on clinical...

  • Pharmacist

    1 month ago


    New York, New York, United States AtlantiCare Full time

    Job SummaryThe Hospital Pharmacist plays a critical role in ensuring the safe and effective distribution of medications to patients. This position requires a strong understanding of pharmaceutical principles, clinical applications, and regulatory requirements.Key ResponsibilitiesInterpret and evaluate medication orders to ensure accuracy and safetyVerify...


  • New York, New York, United States destinationone Consulting Full time

    At destinationone Consulting, we are committed to excellence in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are building a comprehensive data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable...


  • New York, New York, United States Duane Reade Full time

    Job SummaryWe are seeking a highly skilled and compassionate Pharmacist (Full or Part Time) to join our team at Duane Reade. As a key member of our healthcare team, you will provide exceptional patient care and clinical expertise to our customers.Key ResponsibilitiesProvide expert clinical advice and guidance to patients and healthcare professionals on...


  • New York, New York, United States Walgreens Full time

    Job SummaryWe are seeking a highly skilled and compassionate Pharmacist (Full or Part Time) to join our team at Walgreens. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and clinical expertise in a fast-paced retail pharmacy environment.Key ResponsibilitiesProvide Clinical Expertise: Offer expert advice...


  • New York, New York, United States Duane Reade Full time

    Job SummaryWe are seeking a highly skilled Pharmacist (Full or Part Time) to join our team at Duane Reade. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and clinical expertise in a fast-paced retail pharmacy environment.Key ResponsibilitiesProvide clinical consultations to patients, addressing their...


  • New York, New York, United States Walgreens Full time

    Job SummaryWe are seeking a highly skilled and compassionate Pharmacist (Full or Part Time) to join our team at Walgreens. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and clinical expertise in a fast-paced retail pharmacy environment.Key ResponsibilitiesProvide clinical expertise and patient...


  • New York, New York, United States NavitsPartners Full time

    Job SummaryThe Pharmacist will be responsible for dispensing medications, managing sterile processing, and ensuring compliance with all regulations. The role involves working in the IV room, utilizing a pharmacy dispensing system, and interfacing with electronic medical records (EMR). The ideal candidate should have a solid background in pharmaceutical...

  • Clinical Pharmacist

    4 weeks ago


    New York, New York, United States US Tech Solutions Full time

    Job Summary:The Clinical Pharmacist is a key member of the Case Review Unit, responsible for conducting clinical reviews of medical data to perform prior authorization for specialty medications. This role requires strong clinical knowledge and analytical skills to plan and implement approved criteria for prospective and concurrent reviews of cases.The...


  • New York, New York, United States Health First Full time

    Job SummaryHealth First is seeking a skilled Clinical UM Pharmacist to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the efficient and effective review of medication requests.Key Responsibilities Monitor and review prior authorization requests for medications to ensure compliance with...