Clinical Staff Pharmacist

Responsibilities:

• Apply critical thinking to achieve proper clinical decisions when performing clinical reviews
• Utilize multiple systems and other clinical resources to achieve proper decisions in utilization management reviews
• Work and maneuver within queue systems that prioritize clinical reviews
• Be able to make a clinical decision quickly and decide and act with or without all information
• Evaluate opportunities for cross-benefit drug management in an integrated model
• Provide support to the condition-based program managers to enhance clinical affordability and total health outcome
• Evaluate the success of current utilization management program to determine areas of enhancement
• Review current utilization management strategies to ensure strategies promote affordability and customer experience
• Provide education and training for clinical team to communicate clinical strategy and actions and assure consistent execution of class strategy
• Examine egregious medications/products and coordinate with clinical program directors to provide appropriate clinical recommendations to minimize client and customer cost
• Work and collaborate with a multi-disciplinary clinical team to provide a customer centric experience
• Serves as a resource to facilitate understanding of medication related products
• Utilizes effective communication, courtesy and professionalism in all interactions, both internally and externally
• Adheres to quality assurance standards