Population Health Clinical Pharmacist

Responsibilities Supports all aspects of pharmacy services within the Banner Health Insurance Division, including utilization management, care management, and pharmacy quality responsibilities. Drives optimal member experience, provider experience, and financial performance through assigned areas of work. Provides management of pharmacy services to Insurance Division members, including commercial, Medicare, Medicaid populations within owned/operated health plans as well as value‑based agreements. Identifies and stratifies members based on complex pharmaceutical care needs to optimize pharmacotherapy regimens at the patient/member level, and population level to improve overall healthcare quality and reduce costs consistent with acceptable standards of pharmacy practice and CMS Medicare Part D regulations and guidance. Analyzes and interprets pharmacy and medical claims reporting and other sources of clinical and economic data to generate insights and clinical service opportunities. Active participant and/or leader in defining, implementing, and managing clinical programs and services that improve pharmaceutical care quality and lower costs in all Insurance Division lines of business. Requirements Must possess a degree in Pharmacy (advanced degree preferred) from an accredited College of Pharmacy. Completion of an accredited PGY1 pharmacy residency program or three years of previous clinical pharmacy experience in the managed care, community pharmacy, or ambulatory care setting. Requires current and unrestricted pharmacy licensure in the applicable state of practice within 90 days of hire date. Requires a proficiency level in managed care/health plan or pharmacy benefits experience typically obtained in 2 years. Requires effective human relations and verbal/written communication skills and the ability to work collaboratively with community‑based practitioners and the senior population is essential. An understanding of the interrelationships of health plan pharmacy components, members, and providers is required. Proficiency with PC based productivity tools (e.g., spreadsheets, word processing, e‑mail) required. Needs analytical ability to support decision making; organizational ability to manage multiple tasks and projects by established deadlines. Core Competencies Demonstrates expertise in pharmacy services management, including utilization management and care management, while ensuring compliance with CMS Medicare Part D regulations. Proficient in analyzing clinical data to enhance pharmaceutical care quality and optimize member outcomes. #J-18808-Ljbffr Jobtailor