Providence Health & Services Beaverton , OR 97075
Posted 2 months ago
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Clinical Pharmacy Specialist who will:
Be responsible for the effective provision of clinical pharmacy services to members of Providence Health Plan (PHP)
Collaborate with medical directors, nurse case managers, and network physicians and other providers to provide coordinated, high quality and evidenced-based, cost-effective care to PHP members
Be responsible predominantly for the following areas:
Direct patient care through Medication Therapy Management (MTM) program
Population-based disease management
Specialty pharmaceutical acquisition and care coordination
Drug utilization review and program development
Clinical policy development and application, including Pharmacy and Therapeutics (P&T) Committee participation
Be skilled at reviewing pharmacy and medical claims
Interact with, assess and provide education to members and caregivers
Develop medication-related problem lists
Implement medication action plans including interventions with health care providers
Educate and consult with physicians, pharmacists, nurses, and other members of the health care team, both internally and externally
Be responsible for drug utilization work and medical policy activities including developing and applying drug medical policies to influence safe, quality, and cost-effective use of prescription pharmaceuticals
We welcome 100% remote work for residents who reside in one of the following States:
Washington
Oregon
Required qualifications for this position include:
OR- Bachelor's
OR- Master's Degree in Pharmacy and 5+ years of managed care experience with with experience documenting responsibility for evidence and clinical case review and direct consultation of medication information with physicians and/or patients
OR- a PGY-1 Managed Care Residency with Providence Health Plan
OR- 3+ years' experience as a clinical pharmacist in managed care
Oregon Pharmacist License
National Certification from Board of Pharmacy Specialties within 2 years of hire date
Experience in writing, including research protocols, medical papers for publication, and educational pieces for patients and healthcare providers
Experience reviewing medication evidence and clinical policy development
Experience working in programs and services that support population health management
Preferred qualifications for this position include:
Completion of specialty/PGY-2 Residency
Experience and expertise working with a pharmacy claims processing platform
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Providence Health & Services