Blue Cross Blue Shield of North Carolina

Clinical Pharmacist

US-AnywhereRemote in North Carolina, US
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or higher in a relevant field
  • 3+ years of experience in pharmacy or healthcare
  • Current state pharmacy license
  • Experience with Medicare members
  • Familiarity with Comprehensive Medication Reviews (CMRs)

Responsibilities

  • Engage Medicare members to enhance medication adherence
  • Partner with pharmacies to resolve adherence issues
  • Contact healthcare providers to address Statin Use gaps
  • Conduct Comprehensive Medication Reviews with eligible members
  • Alert providers about potential drug interactions and adherence challenges
  • Counsel Medicare members about their medications
  • Educate members on pharmacy benefits and formulary options

Benefits

  • Opportunity to impact Medicare members' healthcare outcomes
  • Collaborative work environment with pharmacies and providers
  • Engagement in meaningful clinical interactions
  • Utilization of patient care platforms for efficient workflow
  • Professional development opportunities in medication management
Full Job Description
Job Description

Engage Medicare members, pharmacies, and providers to close adherence and SUPD (Statin Use in Persons with Diabetes) gaps. Complete Comprehensive Medication Reviews (CMRs) with Medicare members.

  • Make outreach to Medicare members to assist in removing barriers to medication adherence.
  • Partner with pharmacies and providers to close adherence gaps when the Medicare member is unengaged or when the Medicare member requires assistance.
  • Contact providers to close SUPD (Statin Use in Persons with Diabetes) gaps.
  • Complete Comprehensive Medication Reviews (CMRs) with eligible Medicare members to give the member a better understanding of their medications and health.
  • Send interventions to providers through fax or the CMR platform to alert the provider of potential drug interactions and adverse reactions, dose changes, adherence issues, etc.
  • Provide counseling to Medicare members regarding medications.
  • Provide Medicare members with information regarding their pharmacy benefits (ie. formulary, preferred pharmacy, supplemental benefits, etc.)
  • Provide clinical guidance and support to the Pharmacy Quality Specialists


Hiring Requirements
• Bachelor's degree or advanced degree
• 3+ years of experience in related field.
• Current states pharmacy license.

Salary Range

$118,691.00 - $189,906.00

Skills

About Blue Cross Blue Shield of North Carolina

Blue Cross Blue Shield of North Carolina (BCBSNC) is a non-profit health insurance company based in Durham, North Carolina. The company provides health insurance to more than 3.7 million customers in North Carolina. BCBSNC offers a variety of health insurance plans, including individual and family plans, Medicare Advantage plans, and employer-sponsored plans. The company also offers wellness programs and resources to help customers manage their health. BCBSNC was founded in 1933 and has since grown to become one of the largest health insurance providers in North Carolina.
Learn more about Blue Cross Blue Shield of North Carolina
Size
5,000 employees
Industry

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