Clinical Pharmacy Specialist
4 weeks ago
Job Summary
The University of Massachusetts seeks a highly skilled Clinical Pharmacy Specialist to join our team. As a Consultant Pharmacist II, you will play a critical role in our drug utilization review programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client member's drug therapy.
Key Responsibilities
- Participate in the orientation and training of Consultant Pharmacist I staff.
- Review clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance.
- Decide in real-time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
- Provide pharmaceutical expertise and knowledge to advisory board's clinical workgroups.
- Monitor over-utilization and under-utilization of prescribed medicines for members.
- Assist in monitoring and researching profiles for compliance on a daily basis.
- Refer suspected abuse and fraudulent members to program management or designee for case review.
- Participate in site visits to client offices, as necessary.
- Participate in quality improvement and quality assurance initiatives.
Requirements
- Bachelor of Science degree in Pharmacy with 2 years of pharmacy-related work experience, or Doctor of Pharmacy degree with 1 year of pharmacy-related work experience, or Doctor of Pharmacy Degree with completion of 1 year of pharmacy residency.
- Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts.
- Ability to travel to off-site locations.
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