Job Description

1 week ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Molina Pharmacy Services is hiring a Pharmacist, Clinical/MTM. This is a remote role, that will be working Monday through Friday, 9am to 5pm Pacific Standard Time. This role will be responsible to complete telephonic targeted and comprehensive medication reviews focusing on Part D STARS (adherence and statin starts), Adherence follow-up efforts to improve Part D STARS, Medicare/MMP LOB. Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies). Knowledge/Skills/Abilities Molina Clinical Pharmacists provide a clinical pharmacy outreach service to educate patients and their health care team to optimize medication related healthcare outcomes, ensure patient safety, recommend cost-effective medication strategies, and coordinate care efficiently and effectively. These pharmacists may also be involved in providing utilization management/prior authorization services. Key Duties Include Any Or All The Following Provides medication therapy management including examination of member medical records, performing a comprehensive medication review, and communicating with members and providers, including outbound calls to members to discuss their medications. Reviews members' medication profiles and applies evidence-based medicine and national guidelines when creating recommendations to health care providers for optimizing the members' medication regimen. Analyzes and reviews medication lists for potential patient safety problems, including drug interactions, suboptimal medication regimens, etc. Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines through various modalities (provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case-by-case intervention). Performs prior authorization reviews of high-cost medications and deferred authorization requests as needed. Researches, develops, and implements drug utilization and disease state management strategies and intervention techniques to deliver high quality, cost effective healthcare. Assists in coordination of care for pharmacy-related issues between members, providers and other members of the member's interdisciplinary care team, including referrals to state plan health care services. Follows up with members and providers to check on progress toward meeting drug treatment goals. Serves as a drug information resource to Pharmacy staff, Medical Affairs staff, and Providers. Reviews and analyzes pharmacy benefit manager reports to track general trends in drug utilization and identify potential targeted utilization management activities. Works with Health Care Services (e.g., with data manager, case managers, etc.) on member-centered interdisciplinary teams. May prepare drug monographs and utilization reports for the Pharmacy & Therapeutics Committee. Assists Director with developing/updating policies and procedures and implementing changes to comply with state and federal regulations. Job Qualifications Required Education Doctor of Pharmacy (Bachelor's Degree in Pharmacy plus 10 years of relevant experience, including clinical work, will be considered in lieu of Pharm.D.) Continuing education required to maintain an active pharmacist license. Required Experience ASHP-accredited residency or 2-3 years relevant Pharmacy experience. Current knowledge and expertise in clinical pharmacology and disease management. Required License, Certification, Association : Active and unrestricted State Pharmacy License for workplace and plan location. Preferred Education : Ambulatory Care Residency Preferred Experience Experience with Medicaid and/or Medicare programs. Clinical skills or pharmacotherapy expertise for MTMP-related conditions and medications. Experience with team-based care. Preferred License, Certification, Association Board Certified Ambulatory Care Pharmacist American Pharmacist's Association Medication Therapy Management Certificate Training Program certificate or equivalent. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,412 - $156,803 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. If you have questions about this posting, please contact support@lensa.com Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Health Care Provider Industries Internet Publishing Referrals increase your chances of interviewing at Lensa by 2x Get notified about new Clinical Pharmacist jobs in Everett, WA . We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Lensa

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