Staff Pharmacist, Specialty - Evernorth - Onsite

Staff Pharmacist

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

The Staff Pharmacist serves multiple outpatient specialty pharmacy operations for client hospitals, in multiple states, using technology to maximize the cognitive contributions of clinical pharmacists to quality patient care. The Staff Pharmacist actively engages with clinicians and the interdisciplinary team to enhance the performance of care teams and improve outcomes. The Staff Pharmacist is able to initiate prior authorizations, reauthorizations, and appeals for specialty medications, conducts clinical interventions as appropriate, counsels and reassesses patients on specialty medications and documents all actions in accordance with the policies and procedures of both CarepathRx and its hospital clients.

• The Staff Pharmacist performs telepharmacy duties as required and defined in the company SOP and reports directly to the Regional Manager. The Staff Pharmacist will be responsible for providing telepharmacy services for multiple clients and learn multiple pharmacy information systems (PIS's). The Staff Pharmacist will obtain multiple state licenses. They will prioritize, assign, and evaluate the work of assigned clients; maintain accurate records and document actions taken; maintain confidentiality of information, including HIPAA; understand and interpret the laws, regulations, and policies governing the pharmacy operation.
• This role will also fulfill business/client needs by registering as the PIC when needed

Performance Objectives:

• Successfully perform telepharmacy services to assigned clients including counseling patients on specialty medications, initiating prior authorizations, performing reauthorizations, and attempting appeals when clinically appropriate.

Communication:

• Provide leadership, vision, development, and implementation of telepharmacy goals as relayed by the Specialty Pharmacy Operations Manager.
• Foster a company culture that emphasizes quality, continuous improvement, and high performance as directed by CarepathRx.

Clinical Excellence:

• Strive to continually improve the practice of pharmacy in a remote telepharmacy setting.
• Practice pharmacy in a proactive manner and follow policies and procedures as contracted with client.
• Provide drug information to clients and patients by answering all drug related questions and give clinical therapeutic recommendations when appropriate. Questions can be, but are not limited to, drug indication, drug dosage as it relates to renal/liver function or medical condition, drug interactions, drug-drug compatibilities, or drug infusion.
• Be knowledgeable of special age related medical conditions. Important considerations such as (but not limited to): pediatric, geriatric, pregnant/nursing, renal/hepatic impairment, and HIV patients.
• Have a working knowledge of, but not limited to: disease state management, drug-drug interactions, drug-nutrient interaction, drug-disease interaction, drug allergies, appropriate dosing by age, renal, or liver function, recognized therapeutic duplications, and be able to give clinical recommendations for medical conditions or disease states.
• Counsel patients, nurses, and medical staff on proper use of medications.
• Collect and analyze data, draw conclusions, and make recommendations.
• Investigate and take appropriate actions(s) to resolve any complaints, concerns, or errors relating to the specialty pharmacy services program.

Operational Excellence:

• Learn multiple hospital pharmacy information systems.
• Obtain multiple state licensures in a timely manner, based on needs of the team.
• Maintain accurate records and document actions taken by recording interventions, conversations, and actions taken in approved documentation platforms.
• Communicate effectively, both orally and in writing, with fellow medical professionals and patients.
• Develop harmonious professional relationships with CarepathRx clients and staff.
• Provide timely responses to company communications.
• Understand, interpret, explain, and comply with laws, regulations, and policies governing pharmacy operations.

Technical Excellence:

• Provide preliminary technological troubleshooting during breakdowns.
• Work simultaneously with VPNs, various pharmacy information systems (PIS's), as well as automation systems and basic computer programs such as Google Workspace, Microsoft Office, Snagit, etc. to provide quality care to the clients.

Training and Development:

• Coordinate with manager and team leads to initiate and complete all new hire or new client training processes and objectives including, but not limited to policies, procedures, software, PIS updates, etc.
• Participate with ongoing training (e.g., clinical, PIS, or policy updates) as necessary in collaboration with management and team leads.
• Maintain access codes, licenses, and reciprocity as required for position.

Productivity:

• Strive to achieve and maintain company productivity metrics.
• Resourceful and self-starter capable of effectively managing workflow once trained.

Qualifications:

• Degree in Pharmacy (B.S Pharmacy or PharmD.)
• 2+ years' experience in specialty pharmacy preferred
• Valid Pharmacist license issued by the governing State Board of Pharmacy
• Multiple state licenses and willingness to serve clients in multiple states including but not limited to AL, TN, FL, OH, MT, NJ, NY, & CA
• A working knowledge of formulary policies, pharmacy and therapeutics policy and procedures
• Effective communications skills, both written and verbal
• Speak and understand English
• Demonstrated ability to manage a team
• Demonstrated customer service skills
• Working knowledge of client/server applications
• Proficiency with office technology tools, to include MS Office 2000 or later (esp. Outlook, Excel, and Word), Google Drive, internet, and email

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group:

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email View email address on click.appcast.io for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.