Pharmacist, Clinical Specialist - Infectious Diseases

Pharmacist, Clinical Specialist - Infectious Diseases (Open)$30,000 Sign-on Bonus $10,000 Relocation AssistanceAssist ID clinic with the following:managing OPATmanaging patients with HIV & HepCassist in medication procurement for patients in the ID clinicSupport the Specialty Pharmacy:Dispenses medications and reviews and verifies medication orders for accuracy.Assures accurate delivery of medications in a timely manner.Oversees billing of specialty medications including, verification of insurance, and benefits for Specialty Pharmacy services – inclusive of new referrals and therapy changes, adjudication of claims and obtaining the initial authorization for medications from commercial insurers.Oversees completion of prior authorizations, appeals on behalf of patients and providers, and oversee the dispensing of medications to patients in a timely manner.Works with patients, coordinators, pharmacy technicians, pharmacy support liaisons and other clinical teams to ensure that required clinical documentation is obtained prior to acceptance onto service.Documents encounters and pertinent information into the software systems used by Carilion and the specialty pharmacy.Provides counseling to patients and caregivers on disease states and medications used to treat them.Develops goals for care and actively works with patients towards meeting care goals.Works with patients and providers to optimize therapeutic outcomes.Works with pharmacy support liaisons (PSLs) who provide initial patient set up to establish account with the specialty program.Accesses care management documentation systems for data entry and to support the existing programs and processes by collecting information, utilizing appropriate department policies, procedures and guidelines specific to members' eligibility, benefits and contracts.Performs intake of service requests from providers or members received electronically, or via telephone or fax.Engages with patients via telephone during the onboarding process and periodically throughout the course of the patient's therapy.Improves patient service experience and may provision prior authorization services on behalf of patients needing high-cost medications.Conducts patient insurance, benefits and financial investigation and verification by directly communicating with patients. Completes initial and renewal prior authorization forms, negotiate authorization status with insurers, track status of medication approval, and when necessary, alert stakeholders of denials or nonresponse.Assists with the development and implementation of policies and procedures to ensure reimbursement of high-cost medications and maintenance of all accreditation standards.Facilitates staff training and competency, education and practice advancement.Maintains a training and competency program for all staff that meets accreditation standards.Coordinates with Pharmacy leadership to develop training experiences/competencies.What We Require:Education: Must be a graduate of a College of Pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE).Experience: ASHP-accredited Pharmacy Practice Residency or 3 years of experience in clinical pharmacy.Licensure, Certification, and/or Registration: License to practice Pharmacy in the Commonwealth of Virginia required within 90 days of hire. During the first 90 days of employment and the licensure application process, pharmacists without a valid license to practice pharmacy in the Commonwealth of Virginia may not perform duties restricted to a licensed pharmacist until the license is obtained. If the license is not obtained within 90 days of employment, the employee may be subject to separation from Carilion Clinic.Other Minimum Qualifications: Must possess good leadership, communication, interpersonal and teamwork skills. Must be able to effectively budget time, work efficiently and accurately, and follow procedures with minimum supervision. Excellent critical thinking and analytical skills. Work requires knowledge of general office equipment and procedures including computer and keyboarding skills.This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.Benefits, Pay and Well-being at Carilion ClinicCarilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you're away.When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:Comprehensive Medical, Dental, & Vision BenefitsEmployer Funded Pension Plan, vested after five years (Voluntary 403B)Paid Time Off (accrued from day one)Onsite fitness studios and discounts to our Carilion Wellness centersAccess to our health and wellness app, Personify HealthDiscounts on childcareContinued education and training