- Conducting clinical reviews to optimize drug therapy for health plan members across medical and pharmacy benefit channels.
- Utilize sound knowledge of member and/or client benefit design to inform drug therapy recommendations at an individual or population level.
- Administration and management of pharmacy programs including applying knowledge of utilization/formulary management programs, specialty pharmacy management, medication therapy management, data analysis, client relationships/support, and development of innovative clinical programs.
- Work directly with a multi-disciplinary team to advise plan members and providers in an effort to improve health outcomes.
Requirements
- Registered Pharmacist in the States of operation (NM, IL, TX, MT).
- Experience using window-based word processing, spreadsheet and relational database software.
- Drug information skills.
- Strong Verbal and written communication skills.
- Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques.
- Knowledge of medication use evaluation principles.
- Ability to remain at a workstation and perform computer entry for long periods of time, as required.
- Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management
Core Competencies
Demonstrates expertise in clinical reviews and drug therapy optimization, with a strong foundation in pharmacy program management and data analysis. Proficient in communication and collaboration within multi-disciplinary teams to enhance health outcomes for plan members.
Highest-signal resume keywords
- Registered Pharmacist
- Clinical Review
- Pharmacy Program Management
- Drug Information Skills
- Data Analysis
ATS Optimization Keywords
Hard Skills
- Utilization Management
- Formulary Management
- Medication Therapy Management
- Medication Use Evaluation
- Pharmacoeconomics
Soft Skills
- Verbal Communication
- Written Communication
- Issue Resolution
- Professionalism
- Multi-Priority Management
Certifications & Qualifications
- Registered Pharmacist in NM
- Registered Pharmacist in IL
- Registered Pharmacist in TX
- Registered Pharmacist in MT
Industry Keywords
- Health Plan
- Pharmacy Benefit
- Quality Improvement Processes
- Clinical Programs
- Client Relationships
Tools & Technologies
- Word Processing Software
- Spreadsheet Software
- Relational Database Software