Pharmacy Clinical Coordinator; Temporary

Pharmacy Clinical Coordinator (Temporary 9 months) page is loaded## Pharmacy Clinical Coordinator (Temporary 9 months) remote type:
Remote locations:
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Full time posted on:
Posted Yesterday job requisition :
JR100625

Pharmacy Clinical Coordinator (Temporary 9 months)---------------------------------------------------------------This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include formulary management; assisting with management of specific patients in the multidisciplinary case management/medication therapy management program, P&T, developing and conducting educational initiatives to improve prescribing patterns; develop and conduct quality improvement programs related to the pharmacy program;

evaluating medication authorization requests and providing oversight to the medication PA process; and other pharmacy program activities as assigned.

NOTE:

This is a temporary position expected to last 9 months.
** Estimated Hiring Range:**$ - $
** Bonus Target:
** Bonus - SIP Target, 5% Annual Current Care Oregon Employees:
Please use the internal Workday site to submit an application for this job.

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** Essential Responsibilities
*** Prepare drug utilization reports and analyses for the Pharmacy & Therapeutics Committee.
* Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee.
* Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans.
* Provide medication therapy management services.
* Develop and conduct retrospective drug use reviews.
* Review medication prior authorization requests and appeals.
* Develop and implement clinical educational programs to improve drug utilization and quality.
* Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others.
* Develop and conduct quality improvement programs related to the pharmacy program.
* Monitor functions provided by the plans’ Pharmacy Benefit Manager including pharmacy benefit coding, customer service guidelines, prior authorization activities, and other delegated services.
* Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives.
* Assess, review, and respond to federal and state regulatory requirements/audits of the pharmacy benefit.
* Consult with clinicians and pharmacists to resolve pharmacy benefit issues.
* Review and refine pharmaceutical reimbursement and purchasing procedures.
* Develop materials to communicate pharmacy benefit or other information to members, clinicians, and pharmacists.###
** Experience and/or Education
** Required* Graduate of an accredited pharmacy program
* Current, unrestricted license as a pharmacist in Oregon
* Advanced pharmacy training (Pharm

D, residency, fellowship, or master’s degree in related discipline)
* Practical experience as a clinical pharmacist in formulary management or ambulatory care or other clinical setting Preferred
* Previous experience in managed care
* Experience with reviewing Prior Authorization requests against plan criteria and making approval or decline decisions### Knowledge,

Skills and Abilities

Required Knowledge
* Must have comprehensive, clinical pharmaceutical knowledge base
* Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization

Skills and Abilities

* Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine
* Ability to design and review pharmacy claims analysis/reports according to specific project requirements
* Must be highly motivated and have the ability to work independently
* Excellent…