HT24
HT24 - Pharmacist
SUMMARY Requires a doctorate of Pharmacy Pharm.D. and 4 years of experience as a Clinical Pharmacist Manager with WellPoint; or any combination of education and experience, which would provide an equivalent background. MAJOR DUTIES AND RESPONSIBILITIES Provides evaluation of members Rx needs and therapies through review of medication history to determine if medications are appropriate based on diagnosis and concomitant co-morbid conditions. Assesses member compliance with plan through direct contact with members and their physicians. Determines potential barriers to compliance and identifies solutions to overcome barriers. Ensures that members understand appropriate use of current prescriptions. Educates members on possible duplicate therapies, interactions, adverse effects and ineffective therapies. Evaluates use and impact of non-prescribed supplements on therapy and counsels members as appropriate. Reviews medications with physicians when therapies do not meet national standards and counsels physicians around alternative medications. Maintains and enhances positive relationships with clients and responds to a wide variety of pharmacy-related questions. Serves as a resource to the clinical team in disease management and other clinical areas. May conduct research when needed to respond to member or physician inquiries and may be assigned to special project work, such as conducting in-service training or developing applicable protocols. SKILLS: Requires broad and/or deep knowledge of medical policy and terminology. Requires oral and written communication skills, problem-solving skills, PC skills, and research and analytical skills. EDUCATION/EXPERIENCE Requires RPh and at least 3 years clinical experience or any combination of education and experience, which would provide an equivalent background. PharmD preferred. Experience with direct patient counseling or education is preferred. Must have knowledge of managed care, pharmacy benefit management and integrated health systems. May require response during non-standard hours.