Pharmacist

Pharmacist - Case & Disease ManagementThis job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough research to evaluate the patient and extensive clinical judgement and discretion to provide recommendations for closing the gap in care. The incumbent may interact with the patient or care giver, physician, and/or pharmacist through the intervention.Essential Responsibilities:Review gaps in care for high risk patients as part of a multi-disciplinary team. Conduct research including gathering claims data, reviewing clinical websites, etc. to thoroughly evaluate each patient's unique situation to provide the appropriate clinical recommendation.Contact patients, care givers, physicians, pharmacists, etc. to intervene on identified gaps of care using a high level of clinical judgement and discretion.Other duties as assigned.Education:Bachelor's Degree in Pharmacy RequiredDoctorate in Pharmacy PreferredExperience:5 - 7 years in Pharmacy Required3 - 5 years in Pharmacist - Utilization Management Required3 - 5 years in Pharmacist - Medical Therapy Management RequiredNone PreferredLicenses and Certifications:Registered Pharmacist RequiredNone PreferredSkills:Oral & Written Communication SkillsTelephone SkillsProblem Solving & Decision MakingComplianceCollaborative Problem SolvingLanguage (Other than English): NoneTravel Requirement: 0% - 25%Physical, Mental Demands and Working Conditions:Position Type Office-basedTeaches / trains others regularly OccasionallyTravel regularly from the office to various work sites or from site-to-site RarelyWorks primarily out-of-the office selling products/services (sales employees) NeverPhysical work site required YesLifting: up to 10 pounds ConstantlyLifting: 10 to 25 pounds OccasionallyLifting: 25 to 50 pounds RarelyDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.Pay Range Minimum: $118,400.00Pay Range Maximum: $196,800.00Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.For accommodation requests, please contact HR Services Online at View email address on click.appcast.io Consumer Privacy Act Employees, Contractors, and Applicants NoticeReq ID: J286850