KS Clinical Pharmacy Advisor

Aetna   •  

Overland Park, KS

Industry: Healthcare

  •  

Less than 5 years

Posted 60 days ago

This job is no longer available.

POSITION SUMMARY

This is an office-based position in Overland Park, Kansas. The clinicalpharmacy advisor supports a new and innovative member centric clinical careprogram for Aetna Medicaid, the Pharmacy Medication Management Program. The PharmacyMedication Management Program (PMMP) integrates clinical pharmacists with thelocal health plan clinical care team to improve medication utilization andmember outcomes. The PMMP clinical pharmacist is responsible for leading pharmacy-basedinitiatives and supporting the work of clinical care teams serving high riskMedicaid members. The PMMP clinical pharmacist will be responsible forassisting in the development and implementation of Pharmacy MedicationManagement Programs as well as independently administering clinical pharmacyinitiatives.

Fundamental Components:

  • ·Collaborate with plan level associates(includingpharmacy director, care managers, medical directors, provider relations,quality management, and others as necessary) to identify high priority memberand provider populations requiring clinical pharmacy interventions
  • ·Review and evaluate pharmacy and medical claims dataand reporting with plan associates to identify members and prescribers requiringclinical pharmacy interventions
  • ·Assist in the development of PMMP tools, resources,and outreach material as necessary
  • ·Serve as the brand ambassador for the PMMP withinthe plan to drive health plan associate utilization of the available programs
  • ·Educate and train plan level associates on PMMPprocesses and priorities
  • ·Independently complete accurate andcomprehensive medication reviews and perform the corresponding member, caremanager, and provider outreach as necessary
  • ·Serve as the medication expert for health plan clinicalcare activities
  • ·Engage providers to encourage the appropriate prescribingof medications
  • ·Work collaboratively with health plan associatesincluding care managers, medical directors, and quality management to perform memberoutreach that leads to improved medication utilization

BACKGROUND/EXPERIENCE desired:

  • ·Current unrestricted Kansas state licenserequired.
  • ·3-5 years clinical pharmacy experience required(Retail pharmacy experience is not included in the required number of years ofexperience)
  • ·Managed care experience preferred
  • ·Experience in managing long-term, medicationcare plans is required.
  • ·Understanding HEDIS and other quality programsand processes is preferred.
  • ·Knowledge of clinical program components,formulary designs, and prescription benefit trends.
  • ·Understanding of medical and pharmacy terminology.
  • ·Local travel required
  • ·The highest level of education desired forcandidates in this position is a Doctor of Pharmacy.

EDUCATION

The highest level of education desired for candidates in this positionis a Doctor of Pharmacy.

LICENSES AND CERTIFICATIONS

Pharmacy/Licensed Pharmacist

ADDITIONAL JOB INFORMATION

Are you ready to join a company that is changing the face of healthcare across the nation? Aetna Better Health of Kansas is looking for peoplelike you who value excellence, integrity, caring and innovation. As anemployee, you’ll join a team dedicated to improving the lives of KanCaremembers. Our vision incorporates community-based health care that works. Wevalue diversity. Align your career goals with Aetna Better Health of Kansas,and we will support you all the way.

Aetna is about more than just doing a job. This is our opportunity tore-shape healthcare for America and across the globe. We are developingsolutions to improve the quality and affordability of healthcare. What we dowill benefit generations to come.

We care about each other, our customers and our communities. We areinspired to make a difference, and we are committed to integrity andexcellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. Allqualified applicants will receive consideration for employment regardless ofpersonal characteristics or status. We take affirmative action to recruit,select and develop women, people of color, veterans and individuals withdisabilities.

We are a company built on excellence. We have a culture that valuesgrowth, achievement and diversity and a workplace where your voice can beheard.

Benefit eligibility may vary by position. Click here to review thebenefits associated with this position.

Aetna takes our candidates’ data privacy seriously. At no time will anyAetna recruiter or employee request any financial or personal information(Social Security Number, Credit card information for direct deposit, etc.) fromyou via e-mail. Any requests for information will be discussed prior and willbe conducted through a secure website provided by the recruiter. Should you beasked for such information, please notify us immediately.

53524BR