Lead impactful pharmacy initiatives to enhance medication adherence and patient outcomes. Collaborate with interdisciplinary teams to optimize therapy management and improve STAR ratings. Gain valuable experience in managed care and CMS compliance.
Pharmacy Specialist
in Healthcare + Life Sciences ContractJob Detail
Job Description
Overview
- Support the Pharmacy Quality program by implementing initiatives to meet corporate STAR goals and improve medication adherence.
- Conduct comprehensive medication reviews and develop care plans to address barriers and optimize patient outcomes.
- Collaborate with interdisciplinary teams to enhance medication therapy management and ensure compliance with CMS standards.
- Provide patient education on disease states, medication actions, side effects, and compliance requirements.
- Document interactions and care plans using applicable software systems for accurate record-keeping.
- Assist in managing medication costs through cost-effective interventions and formulary assessments.
- Evaluate and maintain formulary setup based on clinical requirements and regulatory compliance.
- Participate in projects and duties as assigned to support pharmacy operations and quality improvement.
Key Responsibilities & Duties
- Conduct patient medication history reviews and identify barriers to care for resolution.
- Recommend changes in drug therapy and lifestyle based on patient interviews and medical records.
- Resolve and prevent medication-related problems, including adverse drug reactions and drug interactions.
- Monitor patient outcomes and compliance to optimize therapy and minimize unnecessary drug use.
- Deliver medication therapy management services and document according to CMS standards.
- Coordinate medication reconciliation to prevent readmissions and adverse drug reactions.
- Collaborate with prescribers and interdisciplinary teams to develop patient-specific therapy goals.
- Ensure compliance with clinical standards and maintain up-to-date clinical knowledge.
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, ambulatory care, or managed care pharmacy preferred.
- Clinical Pharmacy Board Certification via BPS or NBMTM preferred.
- 10+ years of relevant professional experience with 3–5 years in a related role.
- Strong knowledge of CMS Comprehensive Medication Reviews and managed care practices.
- Proficiency in clinical therapeutic skills and medication dosing for geriatric and adult populations.
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