Clinical - Clinical Pharmacist 1 - 210392

Job Profile Summary
Position Purpose: Define and develop standard and custom formularies for assigned plan.

Education/Experience: Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.

Licenses/Certifications: Current state's Pharmacist license with no restrictions.

Responsibilities
Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
Monitor prior authorization requests
Provide clinical support to internal departments and address clinical related questions
Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
Develop and implement programs designed to impact DUR for both Medicaid and Medicare
Develop, implement, and maintain policies and procedures for the pharmacy department
Participate in the coordination of the Medicare MTM program
Assist case management team with members including clinical rounds presentations

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."

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Job Profile Summary Position Purpose: Define and develop standard and custom formularies for assigned plan. Education/Experience: Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. Licenses/Certifications: Current state's Pharmacist license with no restrictions. Responsibilities Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated Monitor prior authorization requests Provide clinical support to internal departments and address clinical related questions Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice Develop and implement programs designed to impact DUR for both Medicaid and Medicare Develop, implement, and maintain policies and procedures for the pharmacy department Participate in the coordination of the Medicare MTM program Assist case management team with members including clinical rounds presentations
Story Behind the Need
What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative?	Clinical pharmacist supporting outreach to providers and pharmacies to drive pharmacy gap closure for quality programs. Pharmacist will also assist with pharmacy appeal reviews. Individual work-assigned specific tasks to complete each day. Surrounding team members that will be able to help support if needed.
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique?	Performance expectations/metrics include completing targeted outreach; completed medication appeal reviews timely. Specific metrics will vary depending on the coverage
Candidate Requirements
Education/Certification	Required: bachelor or doctor of pharmacy degree	Preferred:
Licensure	Required: Pharmacist license	Preferred: highly prefer Indiana license -to help appeals with local Indiana pharmacy team
Years of experience required: 2+ years of experience and 1+ year of residency. Disqualifiers: too much job hopping, short term roles, Additional qualities to look for: multi-tasking and ability to manage multiple given assignments throughout each day.
Top 3 must-have hard skills stack-ranked by importance	1	Strong written and oral communication skills
2	Strong prioritization skills
3	Shows initiative
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations	Projected Manager Candidate Review Date:	1-2 days post shortlisting
Type of Interviews:	Teams-camera on
Required Testing or Assessment (by Vendor):	NA
Next Steps
Additional background check requirements (List DFPS or other specialty checks here)
Do you have any upcoming PTO?
Colleagues to cc/delegate
Are there any training requirements (time off, alternate schedule, etc.)?