Job Description

Your Role

The Clinical Programs team within Pharmacy Services oversees and is responsible for the Blue Shield of California Residency Program offering a series of scheduled rotations under the preceptorship of licensed pharmacists to provide a wide range of learning experiences in various aspects of managed care pharmacy. The Pharmacy Resident will report to the Senior Director of Clinical Pharmacy Program. In this role you will attain one year of post-graduate training in managed care pharmacy in a health plan setting and directly contribute to the organization's delivery of high-quality care, management of pharmacy benefits and claims, member and provider engagement strategies, and drug quality improvement programs.

Responsibilities

Your Work

In this role, you will:

• Perform direct patient care activities and conduct provider outreach to support Medicare Star programs, as well as Commercial and Medi-Cal quality initiatives.
• Review and evaluate the current literature and respond to drug information related questions. Develop therapeutic drug evaluations and medication policies to present at Pharmacy and Therapeutics (P&T) Committee meetings.
• Review prior authorization requests and analyze drug information literature to make evidence-based clinical decisions.
• Participate in formulary strategy and drug/drug class evaluations, make formulary coverage recommendations, and assess impact.
• Understand pharmacy networks, rebates, benefits, claims, and compliance.
• Perform or contribute to client presentations, requests for proposals from potential clients and other ad hoc client inquiries.
• Precept APPE students, coordinate learning experiences and evaluations, and promote professional development.
• Complete a customized residency project suitable for presentation and publication.

Qualifications

Your Knowledge and Experience

• Completion of a Doctor of Pharmacy degree at an accredited pharmacy school
• Requires a letter of intent describing one's motivation for applying to this residency program
• Requires a curriculum vitae
• Requires an official academic transcript from an accredited school of pharmacy showing completion/candidacy of a Doctor of Pharmacy degree
• Requires three letters of recommendation
• Requires completion of the interview process
• California Registered Pharmacist (RPH) licensure with active status, within 4 months of hire

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.