Clinical Pharmacist, MTM

Molina Healthcare Midvale , UT 84047

Posted 2 months ago

Job Description:

Job Summary

Molina Pharmacy Services / Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies).


Molina Clinical Pharmacists provide a clinical pharmacy outreach service to educate patients and their health care team in order to optimize medication related healthcare outcomes, ensure patient safety, recommend cost-effective medication strategies, and coordinate care efficiently and effectively. These pharmacists may also be involved in providing utilization management/prior authorization services.

Key duties include any or all of the following:

  • Provides medication therapy management including examination of member medical records, performing a comprehensive medication review and communicating with members and providers, including outbound calls to members to discuss their medications.

  • Reviews members' medication profiles and applies evidence based medicine and national guidelines when creating recommendations to health care providers for optimizing the members' medication regimen.

  • Analyzes and reviews medication lists for potential patient safety problems, including drug interactions, suboptimal medication regimens, etc.

  • Promotes clinically appropriate prescribing practices based on evidence based medicine and national guidelines through various modalities (provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case-by-case intervention).

  • Performs prior authorization reviews of high-cost medications and deferred authorization requests as needed.

  • Researches, develops and implements drug utilization and disease state management strategies and intervention techniques to deliver high quality, cost effective healthcare.

  • Assists in coordination of care for pharmacy-related issues between members, providers and other members of the member's interdisciplinary care team, including referrals to state plan health care services.

  • Follows up with members and providers to check on progress toward meeting drug treatment goals.

  • Serves as a drug information resource to Pharmacy staff, Medical Affairs staff and Providers.

  • Reviews and analyzes pharmacy benefit manager reports to track general trends in drug utilization and identify potential targeted utilization management activities.

  • Works with Health Care Services (e.g., with data manager, case managers, etc.) on member-centered interdisciplinary teams.

  • May prepare drug monographs and utilization reports for the Pharmacy & Therapeutics Committee.

  • Assists Director with developing/updating policies and procedures and implementing changes to comply with state and federal regulations.Job QualificationsRequired Education

  • Doctor of Pharmacy (Bachelor's Degree in Pharmacy plus 10 years of relevant experience, including clinical work, will be considered in lieu of Pharm.D.)

  • Continuing education required to maintain an active pharmacist license.

Required Experience

  • ASHP-accredited residency or 2-3 years relevant Pharmacy experience.

  • Current knowledge and expertise in clinical pharmacology and disease management.

Required License, Certification, Association

Active State Pharmacy License with norestrictions.

Preferred Experience

  • Experience with Medicaid and / or Medicare programs.

  • Clinical skills or pharmacotherapy expertise for MTMP-related conditions and medications.

  • Experience with team-based care.

Preferred License, Certification, Association

  • Board Certified Ambulatory Care Pharmacist

  • American Pharmacist's Association Medication Therapy Management Certificate Training Program certificate or equivalent.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Therapist/Outpatient Clinical Manager

Camp Recovery

Posted 2 months ago

VIEW JOBS 10/17/2018 12:00:00 AM 2019-01-15T00:00 Highland Ridge Hospital is an 83-bed psychiatric and chemical dependency treatment facility located in the heart of the Salt Lake Valley. Highland Ridge is owned by Acadia Healthcare, a national leader in the behavioral healthcare industry. We are the oldest specialty treatment program in the state of Utah and are fully accredited by the Joint Commission. The Outpatient Clinical Manager plans, directs or coordinates the activities of the facility's therapeutic day treatment and IOP programs. Responsible for developing and maintaining administrative and clinical operations that provide the highest quality care and best possible outcomes for the patients. ESSENTIAL FUNCTIONS: Facilitates 15-20 groups a week. Oversees programming for adult PHP, IOP, Rehab, and Adolescent IOP. Biopsychosocial assessments, treatment planning, and individual therapy Family meetings Utilization review Discharge planning- coordination of care Collaborate with multi-disciplinary treatment team (Providers, nursing, rec therapy, therapists, intake counselors) Implement the approved program plan objectives, timetables, expected outcome and measures for assigned areas of responsibility. Develop and implement procedures to ensure efficient operations of the program; continually identify opportunities to improve program's efficiency; coordinate care delivery, work flow; oversee scheduling, registration, discharge and billing processes for the person(s) receiving services according to facility / clinic procedure. Develop and implement treatment plans, develop and maintain and audit charts and records for person(s) receiving services. Notify attending physician as required for non-routine care or other unusual medical circumstance. Serves as liaison and provides consultation with other staff on related issues, regulations, and standards pertaining to area of clinical specialty. As needed, provides outreach services in area of clinical specialty. Requirements include Master's degree in social work, counseling, or related field and experience working in a behavioral health setting. Camp Recovery Midvale UT

Clinical Pharmacist, MTM

Molina Healthcare