Pharmacist 3

State of Louisiana; Baton Rouge (LA); On-site; USD 110,000 - 140,000; Full time

Job summary

Louisiana Department of Health is seeking a pharmacist to provide regulatory oversight of Medicaid pharmacy contractors and to ensure compliance with program policies.

The role involves clinical and technical expertise on Medicaid policy, DRUG List maintenance, and oversight of FFS claims processing, in a statewide program administration setting.

Qualifications

• Possession of a current Louisiana license to practice pharmacy.
• Two years of experience as a licensed pharmacist.

Responsibilities

• Provides regulatory oversight of pharmacy contractors and ensures compliance with standards and agency policies.
• Provides clinical and technical expertise on Medicaid pharmacy policy and PDL maintenance.
• Oversees Fee-for-Service pharmacy claims operations and related processing.
• Develops and approves clinical criteria for drug coverage and participates in DUR activities.
• Coordinates pharmacy benefit activities with third-party payers including Medicare Part B and D.
• Offers clinical consultation and technical assistance to staff, providers, recipients, and legislators.

Skills

Regulatory oversight

Medicaid policy

Pharmacy claims support

Clinical criteria development

Payer coordination

Education

Pharmacy license (LA)

Job description

About This Job

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

Shape the Future of Medicaid Pharmacy Services! Join the Louisiana Department of Health’s Pharmacy Section and help ensure Louisianans have access to high-quality pharmacy services while driving innovation, efficiency, and cost savings. This is an opportunity to contribute to a complex statewide Medicaid program, support impactful cost-containment initiatives, and help strengthen pharmacy services for the people of Louisiana. Bring your expertise to LDH and make an impact that reaches communities statewide!

Minimum Qualifications

Possession of a current Louisiana license to practice pharmacy plus two years of experience as a licensed pharmacist.

Job Specification

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties

• Provides regulatory oversight of pharmacy contractors, monitors contractor performance, and ensures compliance with program priorities, standards, and agency policies.
• Provides clinical and technical expertise on Medicaid pharmacy policy, including policy changes, Single Preferred Drug List (PDL) maintenance, and implementation of new or revised requirements.
• Oversees Fee-for-Service (FFS) pharmacy claims operations, including claims submission, clinical overrides, claim interventions, drug file updates, and payment and authorization statuses.
• Develops and approves clinical criteria for drug coverage, participates in Drug Utilization Review (DUR) activities, and recommends strategies to improve prescribing and dispensing practices.
• Coordinates pharmacy benefit activities involving third-party payers, including Medicare Part B and Part D drug coverage, and assists with pharmacy provider enrollment and related payment processing.
• Provides clinical consultation and technical assistance to pharmacy staff, providers, recipients, manufacturers, legislators, and oversight agencies regarding complex pharmacy program and policy matters.
• Participates in Pharmaceutical and Therapeutics Committee activities, reviews clinical and financial drug information, monitors PDL implementation, develops innovative pharmacy practices, and supports disaster preparedness and other program initiatives.

Position-Specific Details

Location: Medical Vendor Administration / Director's Office/Executive Management Team / East Baton Rouge Parish

Appointment Type: This position may be filled as a Probationary appointment, or Detail to Special Duty

Cost Center: 3052010100

Position Number(s): 50335447

Contact Information

Shambrielle Pooler

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a State Employee, You Will Earn Competitive Pay, Choose From a Variety Of Benefits, And Have Access To a Great Professional Development Program:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave – Up to six weeks paid parental leave

More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave – State employees receive the following paid holidays each year:

• New Year's Day
• Martin Luther King, Jr. Day,
• Mardi Gras,
• Good Friday
• Memorial Day
• Independence Day
• Labor Day
• Veteran's Day
• Thanksgiving Day and Christmas Day.
• Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State Of Louisiana Employees Are Eligible To Participate In Various Retirement Systems (based On The Type Of Appointment And Agency For Which An Employee Works). These Retirement Systems Provide Retirement Allowances And Other Benefits For State Officers And Employees And Their Beneficiaries. State Retirement Systems May Include (but Are Not Limited To):

• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
• Teacher's Retirement System of Louisiana (www.trsl.org),
• Louisiana School Employees Retirement System (www.lsers.net), among others