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Blue Cross Blue Shield Of Michigan

## Description DEPARTMENTAL SUMMARY The pharmacist position is a part of a multidisciplinary case management team that will focus on complex members who have been identified to be at risk for utilizing...

Job Details
1 days ago 2017-07-21T00:00:00 ## Description **DEPARTMENTAL SUMMARY** **The pharmacist position is a part of a multidisciplinary case management team that will focus on complex members who have been identified to be at risk for utilizing significant healthcare resources. The pharmacist must possess strong clinical skills and be interested in working in an integrated team model. In-home visits are part of the program. The pharmacist will conduct a thorough and objective evaluation of the member's medication history to develop a comprehensive pharmaceutical care plan that will address gaps in care. The position is based in the BCBSM Ren Cen office. Medication assessments may be conducted face-to-face** Responsible for promoting appropriate and/or efficient utilization review of prescription drug claims among BCBSM participating physicians. This position is also responsible for the education of physicians and influencing of prescribing patterns to reduce BCBSM’s drug benefit payout and improve the quality of the benefits as it relates to our members. The incumbent serves as the liaison to the Medical Policy department assisting with the development of medical policy as it applies to drugs. * Participate in clinical coverage review of medication requests, including detection of medication fraud, waste and abuse. * Develop, implement and update Drug Utilization Review/Evaluation Programs. * Provide effective and efficient communication of pharmacotherapy issues. * Develop and implement a variety of behavior modification principles to influence physicians to prescribe appropriately. * Identify target physicians, establish credibility and utilize both verbal and written communications to modify behavior. * Serve as the key clinical support person for researching prescription drug inquiries. * Develop, implement and continually update physician and patient educational materials. * Support Drug Formulary development, management and publishing of written and web-based Drug Lists and other pharmacy materials and support the BCBSM/BCN P and T Committee. * Serve as liaison to medical Policy assisting with the development of medical policy as it applies to drugs. * Participate in clinical and operational process improvement and cost savings opportunities. Support review and resolution of clinical and compliance grievances and appeals. * Support clinical initiatives related to NCQA, HEDIS, QRS, CAHPS and STAR measures. Adhere to Pharmacy Policies and Procedures. ## Qualifications * Bachelor's Degree or Doctorate in Pharmacy required. * The Clinical Pharmacist must have at least three (3) years of experience consulting with physicians on pharmaceutical issues or completion of an accredited American Society of Health-System Pharmacists (ASHP) or Academy of Managed Care Pharmacy (AMCP) or Managed Care Pharmacy or Pharmacy Practice Residency. * Current unrestricted Michigan pharmacy license. * Experience as a Clinical Pharmacist is required for the Clinical Pharmacist job classification. * Drug Information Specialist with proven background and skills will also be considered. * Must have superior oral and written communication skills and expertise in the design of presentations. The incumbent must have the ability to obtain and devise relevant data and information from existing MIS Systems. * An understanding or knowledge of drug claims processing systems and/or medical information systems is preferred. * Other related skills and/or abilities may be required to perform this job. DEPARTMENT REQUIREMENTS: * Minimum of three (3) years pharmacist experience as aforementioned or completion of a PGY1 residency. * Daily travel may be required for certain programs; personal means of reliable transportation required. * Valid current Michigan drivers license required; proof of auto liability coverage is required. *All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability* *Job:* Pharmacy Services *Primary Location:* Detroit *Organization:* Pharmacy Services-2121 *Schedule:* Full-time *Req ID:* PHA0008T Blue Cross Blue Shield Of Michigan Detroit MI

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Staff Today INC (Sti)

Staff Today Inc. is Seeking Pharmacists to work at a local correctional facilities in Coalinga, CA. These are temporary, long term contract positions. The pharmacist will be a contract employee working...

Job Details
1 days ago 2017-07-21T00:00:00 Staff Today Inc. is Seeking Pharmacists to work at a local correctional facilities in Coalinga, CA. These are temporary, long term contract positions. The pharmacist will be a contract employee working at the state facility. This position is full-time and consists of 8-hours shifts, Monday-Friday. Job Responsibilities:- Review and verify prescription/medication order(s) from the Pharmacist-in-Charge, CEO/CME, or other authorized CDCR prescribes for completeness, correctness, authenticity and legality-Assess prescription/medication order(s) against patient's/youth's medical profile for improper drug selection, under-dosage, dosage, over-dosage, drug interactions, dosage form and delivery system-Assess prescription against Facility Formulary for compliance, and refer non-formulary requests as required for approval when necessary-Manage or directly prepare, manufacture, compound and dispense drugs and pharmaceutical preparations- Manage or directly perform computer order entry and type prescription labels- Manage or directly fill prescription/medication orders and prepare or check l.V. Admixtures as required- Provide consultations to CDCR medical staff and the Medical Authorization Review Committee and provide discharge consultations as required- Supervise and directly maintain records of drugs, poisons, and narcotics as required by Federal and State Laws- Supervise and directly maintain records of drugs, poisons, and chemicals received, on hand and dispensed.-Implement and/or maintain medication delivery systems in accordance with directives from the CDCR System wide P&T Committee.- As required by the Pharmacist-in-Charge, assist in the preparation of estimates for the requisition of drugs required.- Monitor and instruct Pharmacy Technicians in standard and routine phases of the work, as appropriate.- Perform other duties as assigned. Staff Today INC (Sti) Coalinga CA

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Reqroute,Inc

Mandatory Skills   RPh: Clinical Benefits Pharmacist (CBP)   As a Clinical Benefits Pharmacist (CBP), you will use a

Job Details
21 hours ago 2017-07-22T00:00:00 Mandatory Skills
 
RPh: Clinical Benefits Pharmacist (CBP)
 
  • As a Clinical Benefits Pharmacist (CBP), you will use a combination of your operational and clinical knowledge to assist the account team and client by providing oversight and systems expertise related to clinical components of the prescription benefits. 
  • You will play a lead role in the implementation and maintenance of client specific clinical and government programs. 
  • As the Clinical Benefits Pharmacist, you and  your clinical services team will ensure the client intent is captured, applied and tested for clinical and benefit changes.
  • You will also provide clinical consulting services including best practices on utilization management and formulary strategy. 
  • Additionally you will translate marketplace and client information into the adjudication system. 
  • In addition, you will use your clinical operational knowledge in a managed care environment to positively impact the health of consumers while helping reduce health care costs.
 
 
Preferred Skills
 
RPh: Clinical Benefits Administration (in a PBM environment)
 
 
Job Roles/Responsibilities
 
  • Pull and analyze impact reports from RxNavigator, using RxClaim query and database applications and other analytical tools to assist client in making clinical decisions.
  • Review the weekly Medispan reports & Formulary/prescribing guide updates with the CA to see if any new GPIs or new strengths of medications will need added to the preferred, preventive, program drug lists.  Compile GPIs and NDCs for Benefits to make changes.
  • Set agendas and run calls key clinical personel from the client and within CVS to determine clinical direction, add or amend programs, discuss coding issues, explore possibilities for future programs, and discuss how new drug products may fit into the clients clinical strategies.
  • Communicate all changes to benefits, work the the BRM and the CA to ensure client intent is translated into Rxclaim properly.  Verify coding and testing and report back to client with progress.
  • Lead clinical operations team members during implementation and maintenance phase of client life cycle to ensure clinical requirements fully comply with client expectations and intent.
  • Provide consultative feedback to client on best practices for clinical edits to ensure proper claim outcomes and client expectations.

 
Regards,
Renuka Krishnaswamy
Technical Recruiter
ReqRoute,Inc

Desk: 408-800-4331 (PST);
Email: renuka@reqroute.com
Website: http://www.reqrouteinc.com/careers

  Reqroute,Inc Phoenix AZ

- new

Jewel-Osco

Safeway , a division of Albertsons Companies, is an innovative industry leader in community pharmacy practice. Our professional, state-of-the-art Wellness Centers and ever-expanding scope of patient care...

Job Details
21 hours ago 2017-07-22T00:00:00 Safeway , a division of Albertsons Companies, is an innovative industry leader in community pharmacy practice. Our professional, state-of-the-art Wellness Centers and ever-expanding scope of patient care services are a reflection of our commitment to providing an environment for our pharmacists to thrive at the top of their profession. Our pharmacists are part of a community where they know their patients by name. With a holistic approach to health care management, our pharmacy staff provides a full complement of pharmaceutical services including clinical services in a community pharmacy setting. Our success is the result of meaningful patient relationships and exceptional pharmacy teams. Responsibilities · Implements company initiatives to increase profitability · Actively participates in and supports clinical services · Supervises pharmacy technicians, clerks and pharmacy interns · Upholds operational standards including performance metrics, safety and compliance Requirements/Qualifications · Bachelor’s Degree in Pharmacy or Pharm.D · Must have an active pharmacy license in state(s) of practice with all held licenses in good standing · Certified Immunizer Preferred · Ability to work a variety of schedules including, evenings, holidays, and weekends With more than 1,700 pharmacies nationwide, Albertsons Companies, is one of the largest food and drug retailers in the United States, with both a strong local presence and national scale. We operate stores across 35 states and the District of Columbia under 18 well-known banners including Albertsons, Safeway, Vons, Jewel-Osco, Shaw’s, Acme, Tom Thumb, Randalls, United Supermarkets, Pavilions, Star Market and Carrs. Join us in making a difference in the lives of our patients, customers, and communities. Albertsons Companies is proud to be an Equal Opportunity Employer (MFDV). **Title:** *Pharmacist* **Location:** *Washington-Yakima* **Requisition ID:** *88630* Jewel-Osco Yakima WA

- new

University Of Maryland, Baltimore

The Center for Innovative Pharmacy Solutions at the University of Maryland, Baltimore School of Pharmacy is hiring for three (3) Advanced Practice Pharmacists. The Center will be launching programs supporting...

Job Details
21 hours ago 2017-07-22T00:00:00 *The Center for Innovative Pharmacy Solutions at the University of Maryland, Baltimore School of Pharmacy is hiring for three (3) Advanced Practice Pharmacists.*The Center will be launching programs supporting the practice model goals of improving interprofessional care coordination and medication therapy management for adult populations with chronic diseases. The care delivery model involves clinical and process of care training; care coordination; telehealth services; and quality assurance overview. Through care coordination and shared access to electronic medical records, the project will enable pharmacists to participate in improving medication adherence and management, resulting in better health, reduced hospitalizations and emergency room visits, and fewer adverse drug events for patients with multiple chronic diseases. UMB offers a generous benefits package that includes 22 vacation days, 14 floating and holidays, 15 sick days; comprehensive health insurance and retirement options; and tuition remission for employees and their dependents at any of the University System of Maryland schools. _*Essential Functions:*_ * Help develop the process of care for pharmacists in the program; finalize protocols; establish policy and procedures. * Assist with pharmacists and pharmacy technician training activities. * Provide clinical services that support day-to-day operations and safe practices. * Provide oversight and programmatic support to providers. * Perform Q&A activities to assure process of care consistency and effectiveness. * Work with Project Team to participate in strategic planning and innovation to meet institutional, departmental, patient care, and regulatory needs. * Engage with the team to support financial stability and growth of this innovative practice model. * Participate in processes for monitoring and analyzing performance by provider and monitor revenue generation. * Develop, review, and maintain medication and chronic disease state management plans related to process of care requirements. * Mentoring and supervising residents and students. *Education: *Bachelor degree in pharmacy required. *Preferred Education: *Doctoral degree in pharmacy (PharmD). *Licensure:*Current State of Maryland Pharmacist license or current licensure reciprocal with the State of Maryland Board of Pharmacy (able to secure and retain an active State of Maryland Pharmacist license for employment). Licensure must be in Good Standing. *Experience:*One (1) year post baccalaureate or post doctoral residency plus one (1) year of experience /OR/ Two (2) years post baccalaureate or post doctoral residency; /OR/ Certification in a relevant specialty by the Board of Pharmaceutical Specialties or Commission for Certification in Geriatric Pharmacy *Preferred Experience:*Experience with delivering telehealth services or healthcare call center operations preferred. _*Knowledge, Skills, and Abilities:*_ * Knowledge of best practices for medication therapy management and clinical services. * Skill in the development of execution of self-management services for chronic diseases. * Knowledge of relevant accreditation and certification requirements. * Ability to establish goals, structures, and processes necessary to implement a patient care program. * Ability to prioritize ongoing and new projects, as well as conduct research and gather information. * Strategic and analytical thinking skills with an ability to solve problems and make decisions. * Oral/written communication, presentation, and interpersonal skills *Hiring Range:*Commensurate with education and experience If accommodations are needed, contact Staffing & Career Services at 410-706-7171, Monday – Friday, 8:30am – 4:30pm EST. Maryland Relay can be accessed by dialing 711 (in-state) or 1-800-735-2258. Equal Opportunity/Affirmative Action Employer. Minorities, women, protected veterans, and individuals with disabilities are encouraged to apply. **Job:** **Exempt Staff* **Organization:** **PPS - CIPS* **Title:** *Advanced Practice Pharmacist* **Location:** *null* **Requisition ID:** *160000WZ* University Of Maryland, Baltimore Baltimore MD

- new

Adeptus Health

Dignity Health Arizona General Hospital: Looking for a new, different way to practice healthcare? Well look no further! At Dignity Health Arizona General Hospital we pride ourselves on our work and our...

Job Details
21 hours ago 2017-07-22T00:00:00 Dignity Health Arizona General Hospital: Looking for a new, different way to practice healthcare? Well look no further! At Dignity Health Arizona General Hospital we pride ourselves on our work and our ability to give each patient the time they need and deserve. Whether you join our Hospital or one of our Free-Standing Emergency Rooms, you will become a valuable member of our healthcare team and your contribution is vital in providing the highest quality patient care. Dignity Health Arizona General Hospital is bringing a new level of healthcare to Arizona. Our state of the art facilities are designed with the clinical team in mind, allowing our team to focus on what is truly important – the patient. Make the right choice and follow a career path that leads with innovation and puts patient care at the forefront. Apply to join our team today! Adeptus Health is a leading patient-centered healthcare organization expanding access to the highest quality emergency medical care through its network of freestanding emergency rooms and partnerships with premier healthcare providers. All Adeptus Health freestanding facilities are fully equipped emergency rooms with a complete radiology suite of diagnostic technology, on-site laboratory, and staffed with board-certified physicians and emergency trained registered nurses. For the last four years, Adeptus Health has exceeded the 95th percentile in patient satisfaction according to patient feedback collected nationwide by Press Ganey Associates Inc. Adeptus Health also was named a 2016 and 2017 Best Workplaces in Healthcare by Great Place to Work® and Fortune Magazine. For more information, please visit adpt.com. Under the direct supervision of the Pharmacy Director, the Pharmacist assures that the delivery of all pharmaceutical services to all hospital areas are in accordance with the established hospital policies and procedures which conform to state, federal, and Joint Commission regulations. JOB RESPONSIBILITIES/DUTIES + Actively reviews patients’ drug therapy as ordered by the medical staff. + Actively reviews patients’ medication history for allergies and drug interactions including the processes of drug procurement, dispensing, monitoring, as was as the provision of drug information to the associated medical staff. + Documents interventions, medication variances, adverse drug reactions and formulary changes into appropriate data bases. + Consults with physician to recommend alternative therapy to achieve therapeutic goals. Education and Experience + Bachelors of Science degree in Pharmacy from an accredited college or university. + Current licensure in good standing with the Board of Pharmacy for the state. + Must have a minimum of 3 years of experience in a hospital setting. + Experience managing Certified Pharmacy Technicians. Shift: Day External Company URL: www.adeptushealth.com Adeptus Health Laveen AZ
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