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Clinical Pharmacist

Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

High School Diploma or Equivalent, Active pharmacist license in California, Knowledge in clinical pharmacology and disease management, Experience in managed care preferred.

Key responsabilities:

  • Conduct medication review and management
  • Provide pharmacy support to clients
  • Assist in pharmacy projects like drug reviews
  • Collaboration on Star/HEDIS measures delivery
Prospect Medical Systems logo
Prospect Medical Systems SME https://prospectmedicalsystems.com/
501 - 1000 Employees
See more Prospect Medical Systems offers

Job description

Job Description

The main responsibilities of the Clinical Pharmacist include medication review/management for members in select health plans, management of pharmacy-related Star/HEDIS measures, providing pharmacy support to internal and external clients, providing coverage for clinical and non-clinical functions performed by a pharmacist, and assisting in pharmacy projects.

Responsibilities

  • Provide coverage for clinical and non-clinical functions performed by pharmacists including but not limited to: 1) medication reconciliation for post-discharge members to avoid potential drug related issues including duplicate therapies or gaps in therapy; 2) pharmacy consultations for patients enrolled in the disease management programs for anticoagulation, CHF, COPD, diabetes, or CKD; 3) Key events & ICT medication reviews to address any drug-related issues and educate members on appropriate utilization of drugs; 4) medication dispensing in an outpatient pharmacy.
  • Medication Management - Conduct medication reviews to identify and resolve issues with appropriate documentation in a central case management system. Assist members to be compliant with medication regimens, arrange copay or financial assistance programs as appropriate, and provide education. Consult with physicians to resolve drug-related issues.
  • Star/HEDIS Programs - Work in collaboration with health plans to develop strategies in delivering a high STAR rating for pharmacy related measures. Implement and monitor workflows and initiatives to close clinical gaps through member and provider (physicians, pharmacies) facing interventions.
  • Provide pharmacy support to both internal (e.g., Medical Management, Network Management) and external (e.g., staff and contracted physicians and office staff) clients. Attend multidisciplinary clinical rounds as applied and work with other healthcare professionals to address drug-related issues.
  • Assist in pharmacy projects, including but not limited to 1) Provide support for the Pharmacy & Therapeutics Committee, Utilization Management Committee, and Quality Management Committee. 2) Develop utilization management protocols for drugs including injectables, infusion therapies, chemotherapeutic agents, and vaccines and internal treatment algorithms. 3) Present new drug reviews, therapeutic class reviews, drug usage guidelines, and clinical programs to the Pharmacy & Therapeutics Committee. 4) Other pharmacy related projects

Qualifications

Minimum Education: Minimum Education: High School Diploma or Equivalent.

Minimum Experience: Current knowledge and expertise in clinical pharmacology and disease management. Experience in managed care and/or clinical experience preferred.

Req. Certification/Licensure: Must hold an active pharmacist license in California.

"Location-Based Pay Adjustment"

About Us

With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Problem Solving
  • Time Management
  • Teamwork
  • Verbal Communication Skills

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