Pharmacy Specialist

Overview

• Lead pharmacy quality initiatives to achieve corporate STAR goals through medication management and adherence improvement programs.
• Conduct comprehensive medication reviews and develop care plans to optimize patient outcomes and medication adherence.
• Collaborate with interdisciplinary teams to resolve medication-related problems and enhance therapy effectiveness.
• Ensure compliance with CMS standards and regulatory requirements in all medication therapy management activities.
• Provide patient education on disease states, medication usage, and adherence strategies.
• Support cost-effective medication interventions and formulary management to reduce unnecessary expenses.
• Maintain comprehensive knowledge of clinical standards and policies related to pharmacy services.
• Participate in projects and duties to enhance pharmacy service delivery and patient care.

Key Responsibilities & Duties

• Conduct patient medication history reviews to identify and resolve barriers to care.
• Recommend drug therapy changes based on patient interviews and medical records.
• Provide patient monitoring to optimize outcomes and detect adverse drug reactions.
• Deliver medication therapy management services and document according to CMS standards.
• Coordinate medication reconciliation across care continuum to prevent readmissions and adverse reactions.
• Collaborate with prescribers and care teams to develop patient-specific therapy goals.
• Ensure compliance with clinical standards and regulatory requirements in pharmacy services.
• Assist in formulary evaluation and maintenance based on clinical requirements.

Job Requirements

• Bachelor’s degree in Pharmacy or PharmD from an accredited institution.
• Current, unrestricted Pharmacist License as per state regulations.
• Completion of MTM training program by APhA or PowerPak C.E. preferred.
• PGY-1 residency in community pharmacy or managed care pharmacy preferred.
• Board certification in Clinical Pharmacy via BPS or NBMTM preferred.
• Minimum 3 years of experience in managed care pharmacy; 5 years preferred.
• Proficiency in CMS Comprehensive Medication Reviews and STAR measures.
• Strong communication, critical thinking, and problem-solving skills.