Pharmacist 2

Nature of Work

This position involves the development of pharmacy policy and interaction with medical and pharmacy providers, agency personnel and the public regarding these policies. Working with the fiscal agent to ensure that claims are processed according to established policies and that data from the system is reported correctly and available for program management. Work with Rational Drug Therapy program to implement established policy and provide information for other department task forces when requested. Work with the pharmacy director on implementation of the preferred drug list and work on its maintenance and reviewing changes and recommendations from the PDL vendor. Provision of staff support and oversight of the quarterly meetings of the drug utilization review board and monthly meetings of the retrospective drug utilization review committee, to develop criteria for the appropriate utilization of drugs and to review member profiles to ensure that criteria is developed for all appropriate therapeutic classes and that current treatment guidelines are employed. Interaction with Medicaid providers, other departments, and pharmaceutical company representatives to explain established policies. Most of this interaction requires a response in writing. Responses are an average of ninety calls per month, many of which require a follow-up response by letter or email. Oversight of pharmacy lock-in program for Medicaid members who may use or divert controlled substances. Establishment of policies to control inappropriate use of controlled substances. Interaction with Medicaid fraud, surveillance and utilization review units, and Medicaid providers for minimization of over utilization and diversion of drug supplied by the Medicaid program. Performs other duties as assigned.

Minimum Qualifications

Training: Certificate of registration as a pharmacist issued by the West Virginia Board of Pharmacy. Experience: Four years of full-time or equivalent part-time paid experience as a pharmacist, two of which have been in a supervisory or administrative capacity.

Other Information

PG: 81 $78,448 - $117,665 Market Rate: $98,050 Special hiring rates: Hiring rate at any rate in the range for DHHR.