Professional, Clinical Pharmacist

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

Status: Full Time, Exempt

Band: Professional III

Recruiter: Hafsah Janjua

Bonus: Standard

Summary:

This individual will perform and be cross trained in selected departmental job functions as assigned. These include but are not limited to: Performing prospective and/or retrospective coverage determinations in accordance with MVP pharmacy and/or medical policy coverage criteria and state and/or federal regulations, with appropriate notification to physician, member, and vendor. Performing activities associated with Medication Therapy Management, including evaluating member medication use, developing and implementing a medication action plan, and documenting applicable interventions in MTM software. Evaluating and identifying aberrant prescribing patterns from prescription and medical claims data, with potential physician consultation. Supplying drug related and benefit information to member services, provider relations, utilization management and medical directors. Position will require regularly scheduled weekend rotations. Performs special projects and other duties as assigned.

POSITION QUALIFICATIONS

Minimum Education:

BS degree in Pharmacy or Pharm. D.; Current registration and licensure by New York State Board of Pharmacy or ability to obtain licensure prior to employment.

Minimum Experience:

Minimum of 3 years as a licensed, practicing pharmacist in a retail practice or 2 years in a non-dispensing clinical practice, or managed care or other clinical residency.

Minimum of 2 years in a health care environment or managed care pharmacy, or residency preferred.

Required Skills:

• Ability to work well in a team environment with internal and external staff, practitioners, and members.

• Excellent customer service skills and ability to deal with stressful situations in a calm and diplomatic manner.

• Exceptional organizational and strong written and verbal communication skills.

• Exceptional clinical skills and ability to independently apply sound clinical judgement to a variety of situations.

• Superior attention to detail and time management skills.

• Intermediate MS Word and Basic MS Excel skills.

• Familiarity with healthcare benefits, pharmacy and medical terminology, and pharmacy claims adjudication process.

• Ability to sit at a workstation for long periods of time in front of a computer.

Competencies and skills:

Essential:

• Communication

• Provides clear, concise information to others in a variety of formats (verbal, written, electronic, etc.). Listens actively and empathetically to the views of others. Asks the appropriate questions to ensure that all relevant facts are considered before a decision is made or an action is initiated. Helps others consider new perspectives. Delivers critical information to all stakeholders/everyone involved. Seeks to clarify ambiguity. Utilizes communication technology.

• Independence

• Takes action and makes decisions independently. Works effectively without immediate supervision. Works resourcefully.

• Information Gathering

• Gathers necessary and appropriate information from a variety of sources, to clarify situations and to facilitate effective planning, decision-making, and problem solving. Records, summarizes, and creates representations of data. Probes skillfully to get the facts. Seeks the perspective of all stakeholders involved. Seeks out knowledgeable people to obtain information or clarify a problem.

• Intellectual Agility

• Actively seeks opportunities for personal and professional learning and development. Displays interest and willingness to learn and apply new knowledge and skills. Treats unexpected circumstances as opportunities to learn and adopt new techniques. Seeks feedback and modifies behavior for improvement. Broadens knowledge and skills through reading and continued education. Applies new knowledge and skills to daily work.

• Judgment

• Takes action to solve problems and move situations to closure while exhibiting judgment and a realistic understanding of issues. Uses reason, even when dealing with emotional topics. Weighs alternatives in terms of the impact on the customer and the company. Applies different types of decision-making strategies to fit the situation.

• Relationship Management

• Manages relationships in ways that promote the best interests of all parties. Manages interactions with the specific goal of providing exceptional service and organizational success. Establishes credibility in all interactions. Treats stakeholders with respect and dignity. Demonstrates approachability and openness.

• Teamwork

• Works cooperatively with others and contributes to the group with ideas, suggestions, and effort. Raises issues and gives opinions freely; listens to understand others' opinions; is open to considering new ways of doing things. Is willing to confront problems of the team. Partners across groups/levels and builds relationships with others both inside and outside of the organization.

About MVP

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

In addition, we offer a comprehensive benefits package that includes:

• Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.

• Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.

• Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.

• Life insurance and disability coverage to ensure financial security for you and your dependents.

• An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.

• Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.

• A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about totalcompensation and benefits will be provided during the hiring process.

MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more - including how you may become a proud member of our team.

Other details

• Job Family Pharmacy

• Pay Type Salary

• Min Hiring Rate $75,870.00

• Max Hiring Rate $148,930.00

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• 625 State St, Schenectady, NY 12305, USA
• Rochester, NY, USA
• Tarrytown, NY, USA