Remote Enhanced Case Management Pharmacist (MST/PST)

Enhanced Case Management Pharmacist

Fully remote position with Allied Benefit Systems

Overview

Salary range $130,000.00 - $140,000.00. Full time position in medical management.

Description

The enhanced case management (ECM) pharmacist plays a critical role in engaging members and supporting their health journey. This position leverages clinical expertise and compassionate communication to educate members, promote treatment adherence, and improve health outcomesparticularly for those managing complex or chronic conditions requiring specialty medications. The ECM pharmacist collaborates with providers, pharmacy vendors, and internal teams to ensure members receive appropriate, evidence-based care while empowering them to understand and follow their treatment plans.

Essential functions include conducting comprehensive clinical assessments to identify member needs and opportunities for improved outcomes, utilizing nationally recognized criteria to ensure appropriate, clinical standard of care, collaborating with providers and care teams to develop individualized care plans that prioritize member understanding and engagement, monitoring treatment progress and intervening when gaps in care or compliance are identified, establishing trusting relationships with members through proactive outreach to provide education on their condition and reinforce the importance of treatment compliance, addressing barriers to treatment adherence by providing resources, guidance, motivation support and referrals to vendor partners, partnering with internal teams to streamline processes that enhance member experience and health results, maintaining knowledge of pharmacy vendors, solutions and assistance programs to support timely access to medications and affordability solutions, working closely with medical management leadership and ECM team members to share insights, track progress, and implement best practices for member engagement, and other duties as assigned.

Education

• Doctor of Pharmacy (PharmD) required.
• Current license to practice pharmacy required.
• Additional certifications related to diabetes care and patient education preferred.

Experience and Skills

• Minimum of 3 years of experience as a licensed pharmacist in a clinical or patient-facing role.
• Clinical expertise
• Patient education and counseling
• Communication skills
• Empathy and cultural competence
• Problem-solving and critical thinking
• Collaboration and teamwork
• Data analysis and documentation

Position Competencies

• Accountability
• Analytical thinking
• Collaboration
• Communication
• Customer focus
• Functional expertise
• Initiative

Physical Demands

• This is a standard desk role requiring extended periods of sitting and computer work.

Work Environment

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our total rewards, and offers a competitive benefit package including, but not limited to, medical, dental, vision, life and disability insurance, generous paid time off, tuition reimbursement, EAP, and a technology stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the company's discretion to determine what pay is provided to a candidate within the range associated with the role.