Managed Care Clinical Pharmacist Specialist

0100 PHP Administrative; United States; On-site; USD 100,000 - 176,000; Full time

Benefits offered by this job

Educational and career development

Tuition and certification reimburse

Staff Safety wearable badge

Shift differentials for night/weekend

Malpractice liability insurance

Loan forgiveness through NM Higher Ed

EPIC electronic charting

Job summary

Presbyterian Healthcare Services is hiring a Clinical Pharmacist Specialist in Albuquerque, NM. The role focuses on managing the PHP pharmacy benefit, formulary oversight, cost containment, and collaboration with providers to optimize drug therapy and patient outcomes.

The position is full-time, day shift, with opportunities for professional growth and engagement in educational programs for members, providers and staff.

Qualifications

• Doctorate in Pharmacy (PharmD) or Registered Pharmacist (RPh) with extensive clinical experience.
• New Mexico Board of Pharmacy License required.
• Residency or equivalent experience, three to five years in a clinical setting; residency and Board Certification preferred.

Responsibilities

• Provides professional consultative services for management of PHP pharmacy benefit including prior authorization, formulary management, regulatory compliance.
• Coordinates clinical programs and services, including educational programs for members, providers and PHP staff.
• Develops customized prescriber profiles using ICIS and predictive tools; presents information to providers.
• Advises physicians on cost-effective drug therapy and formulary initiatives to improve patient care and reduce costs.
• Reviews drug regimens for discharged patients to avoid duplications and interactions; supports medication management clinics.

Skills

Clinical Pharmacist

Cost containment

Clinical program coordination

Education

PharmD or Pharmacist license

Tools

ICIS

Predictive modeling

Job description

Presbyterian Healthcare Services is hiring a Clinical Pharmacist Specialist in Albuquerque, NM. The role focuses on managing the PHP pharmacy benefit, formulary oversight, cost containment, and collaboration with providers to optimize drug therapy and patient outcomes.

The position is full-time, day shift, with opportunities for professional growth and engagement in educational programs for members, providers and staff.