Pharmacy Specialist
Full Time
Albuquerque, NM 87113
Posted 1 day ago
Job description
Overview:
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: Yes
Work Schedule: Days Qualifications:
We offer more than the standard benefits!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
Provides professional consultative services for management of the PHP pharmacy benefit for all product lines. This includes oversight of the prior authorization process, formulary management, regulatory compliance, and relationships with pharmaceutical companies. Coordinates clinical programs and services offered by the department including educational programs for members, providers, and PHP staff.
Another primary function of a Managed Care Clinical Pharmacist is to work with PMG and non-PMG providers to help optimize their prescribing of drug therapy. Develop customized prescriber profiles utilizing ICIS and predictive modeling tools and present this information to our providers. Provide physicians with drug information and actively participate in the development, implementation and monitoring of the PHP drug initiatives to achieve and maintain a cost effective and appropriate drug utilization as well as optimize patient care. Decrease overall pharmacy costs for PHP
Another primary function of a Managed Care Clinical Pharmacist is to work with PMG and non-PMG providers to help optimize their prescribing of drug therapy. Develop customized prescriber profiles utilizing ICIS and predictive modeling tools and present this information to our providers. Provide physicians with drug information and actively participate in the development, implementation and monitoring of the PHP drug initiatives to achieve and maintain a cost effective and appropriate drug utilization as well as optimize patient care. Decrease overall pharmacy costs for PHP
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: Yes
Work Schedule: Days
Doctorate degree in Pharmacy (PharmD.) or Registered Pharmacist (RPh) with extensive clinical experience. New Mexico Board of Pharmacy License required.
Strongly Desired - Residency or equivalent experience, three to five years experience in a Clinical Setting, residency and Board Certification
Responsibilities:
Strongly Desired - Residency or equivalent experience, three to five years experience in a Clinical Setting, residency and Board Certification
- Work with Pharmacy Department in Formulary development and maintenance, including drug/therapeutic class reviews for the Pharmacy & Therapeutics (P&T) committee and implementation of P&T Committee decisions.
- Review drug regimens of patients discharged from in-patient settings to ensure that medications are not duplicated or interact negatively and make recommendations to the provider.
- Interact with members in clinical pharmacist run medication management clinics to discuss/review polypharmacy, disease states and/or pharmacy benefits.
- Review pharmacy profiles of PHP and paneled patients for drug interactions, duplications and Preferred Drug List (PDL) compliance.
- Consult with PHP Providers to promote patient safety, quality and cost effective use of medications.
- Provides individual provider feedback, education and recommendations on cost-effective drug prescribing.
- Provides feedback on drug utilization patterns to delegated physician groups.
- Provides educational programs for members to enhance knowledge, compliance, and cost effective therapy.
- Evaluates and improves the efficiency and effectiveness of the prior-authorization process.
- Evaluates new drug therapy for possible inclusion on the formulary.
- Evaluates and authorizes non-formulary medication.
- Conducts drug utilization reviews and identify areas for improvement.
- Serves as a consultant in the development of Disease Management Pathways.
- Evaluates per member per month pharmacy costs and develops innovative mechanisms to favorably affect these costs while maintaining or improving quality of care.
- Interacts with other PHP departments to provide assistance with their functions including marketing, enrollment, provider services, and other functions as indicated.
- Supports PHP efforts in regulatory compliance as these requirements or standards relate to the pharmacy department function.
- Performs other functions as required.
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico continues to grow steadily in population and features a low cost-of living.
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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