Clinical Pharmacist - Pharmaceutical Services (Short-Term Assignment)

Inland Empire Health Plans; California (MO); Hybrid; USD 110,000 - 145,000; Full time

Benefits offered by this job

Competitive salary

CalPERS retirement

On-site fitness center

Medical insurance with dental and eye

Life insurance options

Career advancement

Wellness programs

Flexible Spending Account

457(b) retirement option

Paid life insurance

Pet care insurance

Job summary

Inland Empire Health Plans is seeking a Clinical Pharmacist to provide essential medication reviews and recommendations. The role involves resolving pharmacy issues for members and communicating clinical recommendations effectively.

This position offers training in quality improvement processes and collaboration across various teams. Candidates must hold a Doctor of Pharmacy degree and a California pharmacist license, with preferred experience in managed care pharmacy.

Qualifications

• Two years of experience in managed care pharmacy or a one-year Pharmacy Managed Care residency.
• One year of medical drug prior authorization and/or Medication Therapy Management experience preferred.
• Active Registered Pharmacist license in California required.

Responsibilities

• Provide patient-specific medication reviews and recommendations.
• Resolve medication and pharmacy issues for members.
• Communicate clinical recommendations to members and prescribers.
• Serve as a subject matter expert for audits and quality improvement.

Skills

Clinical knowledge

Verbal communication

Written communication

Detail oriented

Interpersonal skills

Drug information research

Bilingual

Health plan systems

Education

Doctor of Pharmacy (Pharm. D.)

Tools

Electronic medical records systems

Job description

This is a short-term assignment.

What you can expect!

The Clinical Pharmacist – Pharmaceutical Services is responsible for providing patient-specific medication reviews and developing recommendations for medical drug utilization management (RxUM), Medication Therapy Management (MTM), medication adherence, pharmacy clinical quality, including but not limited to, HEDIS, MCAS and STARS measures, and member issue resolution. This position will resolve medication and pharmacy issues for members who are triaged to pharmacy from the Member Services Call Center or other internal departments. The Clinical Pharmacist – Pharmaceutical Services will communicate verbal and written clinical recommendations to members, prescribers, and pharmacies. The Clinical Pharmacist – Pharmaceutical Services will serve as a subject matter expert for audits, projects, quality improvement process enhancements, LEAN projects and other IEHP initiatives. The position may be assigned to a specific area or work in multiple areas on a rotating basis.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary.
• CalPERS retirement.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Education & Requirements

• Two (2) or more years of experience in managed care pharmacy setting -OR- successful completion of a one (1) year Pharmacy Managed Care residency
  • One (1) year of medical drug prior authorization and/or Medication Therapy Management experience preferred
• Doctor of Pharmacy (Pharm. D.) from an accredited institution required
• Possession of an active, unrestricted, and unencumbered Registered Pharmacist license issued by the California State Board of Pharmacy required

Key Qualifications

• Strong clinical baseline knowledge of current medical treatment protocols and clinical practice guidelines
• Working knowledge of regulatory standards and timelines for Medi-Cal, Medicare, and Covered California lines of business
• Bilingual preferred
• Proficiency with health plan electronic medical records systems (i.e. MHK, Meditrac)
• Excellent written and verbal communication skills
• Strong drug information research skills
• Excellent communication and interpersonal skills
• Detail oriented
• Ability to communicate and work effectively with a variety of stakeholders and maintain positive working relationships with internal and external contacts at all levels
• Schedule will adjust based on business need which may include evenings, holidays, and weekends
• Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval
  • All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership