Ambulatory Care Clinical Coordinator - Pharmacist

CareOregon Inc; Wisconsin; Remote; USD 80,000 - 110,000; Full time

Job summary

An innovative healthcare provider is seeking an Ambulatory Care Clinical Coordinator who will oversee pharmacy benefits and quality measures. This role involves collaborating with a multidisciplinary team to enhance patient care through effective pharmaceutical services. You will lead quality improvement initiatives, develop educational programs, and ensure compliance with regulatory standards. If you are passionate about improving healthcare outcomes and have a strong clinical background, this is a fantastic opportunity to make a significant impact in a supportive and inclusive environment.

Qualifications

• Minimum 2 years as a clinical pharmacist in pharmaceutical care management.
• Current unrestricted licensure as a pharmacist in Oregon required.

Responsibilities

• Develop and conduct quality improvement programs related to the pharmacy program.
• Lead the design and implementation of quality improvement initiatives.

Skills

Clinical pharmaceutical knowledge

Project management

Communication skills

Problem-solving

Evidence-based medicine

Education

Graduate of an accredited pharmacy program

Advanced pharmacy training (PharmD, residency, fellowship)

Tools

Database skills

Spreadsheet skills

Word processing skills

Job description

Career Opportunities: Ambulatory Care Clinical Coordinator - Pharmacist (24825)

Requisition ID 24825 - Posted - CareOregon - Full-Time - Permanent - Portland - Multi Location (18)

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Job Summary

The Ambulatory Care Clinical Coordinator (pharmacist) is responsible for providing oversight of an assigned area (i.e., Care Coordination or Network Liaison). The pharmacist needs to demonstrate consistent application of knowledge and skills related to pharmacy benefits, quality measures, and other initiatives in order to communicate, partner, and deliver appropriate, safe, efficient, and cost-effective patient care as part of a multidisciplinary team. Responsibilities include supporting the patient-centered medical home, incorporating principles of population-based medicine, expanding and coordinating the expansion of pharmaceutical care services to patients across the health-system through primary care clinics, community pharmacies, or other designated environments.

Responsibilities

• Develop and conduct quality improvement programs related to the pharmacy program.
• Develop and implement clinical educational programs to improve drug utilization and quality.
• Develop and conduct educational initiatives to improve prescribing patterns for quality and/or cost opportunities to support sustainable cost trends with the highest quality.
• Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives.
• Develop and conduct retrospective drug use reviews.
• Lead the design, development, and implementation of quality improvement initiatives related to the pharmacy program.
• Review medication prior authorization requests and appeals as assigned.
• Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others as applicable.
• Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee and other pharmacy program activities as assigned.
• Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit.
• Consult with clinicians and pharmacists to resolve pharmacy benefit issues.
• Precept pharmacy students and residents.
• Critically evaluate drug therapy regimens for patients enrolled in the care coordination program and assist with developing treatment plans.
• Provide medication therapy management (MTM) services.
• Utilize technology platforms to document and to meet MTM objectives.
• Monitor MTM objectives and high-risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight.
• Perform medication reviews and other tasks as assigned to meet plan quality metrics.

Experience and/or Education Required

• Minimum Graduate of an accredited pharmacy program
• Current (or eligible) unrestricted licensure as a pharmacist in the state of Oregon
• Advanced pharmacy training (PharmD, residency, fellowship, board certification or master’s degree in related discipline)
• Practical experience with minimum 2 years as a clinical pharmacist in pharmaceutical care management in an ambulatory care or other clinical setting (which can include residency experience)

Preferred

• Previous experience in managed care and project management
• PGY1 residency training

Knowledge, Skills and Abilities Required

• Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
• Must have comprehensive, clinical pharmaceutical knowledge base

Skills and Abilities

• Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine
• Ability to design and review pharmacy claims analysis/reports according to specific project requirements
• Must be highly motivated and have the ability to work independently
• Excellent organizational, project management, and time-management skills
• Excellent written and verbal communication skills
• Ability to work with diverse groups
• Ability to manage multiple tasks
• Ability to negotiate, problem-solve, and consensus-build
• Basic word processing, spreadsheet, and database skills
• Propose and implement process improvements
• Meet deadlines for completion of workload
• Maintain agreed upon work schedule
• Demonstrate cooperation and teamwork
• Provide cross-training on specific job responsibilities
• Meet identified business goals that contribute to departmental goals
• Follow established departmental policies and procedures
• Perform other duties and projects as assigned
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 hours/day
• Ability to lift, carry, push, pull and/or pinch small objects for at least 1-3 hours/day

Working Conditions

May include physical and ergonomic hazards. General office equipment. May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location

Work from home

Equal Opportunity Statement

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.