Clinical Pharmacist
2 weeks ago
Position Overview
Role Summary:
This position is integral to the Medication Access Services team, focusing on enhancing patient care through effective medication management. The Clinical Pharmacist will engage in a collaborative, team-oriented environment, ensuring that patients receive optimal medication therapy. Responsibilities include conducting thorough benefits investigations, managing prior authorization processes, and supporting appeals for medication coverage.
Key Responsibilities:
- Perform clinical evaluations and benefits assessments for medication orders initiated by healthcare providers.
- Assist Medication Access Associates with inquiries related to prior authorizations and eligibility for Medicare prescriptions.
- Enhance the utilization of designated therapies, particularly specialty-lite medications.
- Utilize electronic medical records to accurately assess patient eligibility for medications based on third-party requirements.
- Foster effective communication and collaboration with healthcare providers, nursing staff, pharmacies, and third-party payers to resolve claims processing issues.
- Engage directly with patients, providing counseling on medications obtained through Manufacturer-based Patient Assistance Programs.
Educational Qualifications:
- Doctor of Pharmacy (Pharm.D.) or Bachelor of Science in Pharmacy from an accredited institution.
Required Experience:
- A minimum of one year of experience in a pharmacy practice setting.
Preferred Experience:
- Completion of a pharmacy residency program is preferred.
- Experience in managed care, formulary management, or medication therapy management is advantageous.
Licensure Requirements:
- Must hold a valid Registered Pharmacist license in the state of practice.
Work Environment:
This role is designed for a dynamic healthcare setting, emphasizing teamwork and patient-centered care. The Clinical Pharmacist will play a crucial role in optimizing medication access and ensuring high-quality patient outcomes.
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