Senior Clinical Pharmacy Specialist (Remote)- Must be licensed in PA!

UPMC Senior Communities • $90K — $120K *
Pittsburgh, PA 15219In-Person
Healthcare
Less than 5 years of experience
Reposted 2 weeks ago
Job Overview by Ladders

Qualifications

  • Registered pharmacist (RPh) licensure required in Pennsylvania or eligible for licensure.
  • Bachelor of Science or Doctor of Pharmacy degree from an accredited pharmacy school.
  • 1 year of experience in managed care pharmacy preferred, with knowledge of pharmacy benefit management.
  • Strong analytical and organizational skills essential for this role.
  • Effective verbal and written communication skills required.
  • Proficient in pharmacy programming, data management, and word processing.
  • Commitment to continuous education, meeting state board requirements for licensure.

Responsibilities

  • Manage multiple stretch projects and new initiatives assigned by management.
  • Train staff and assist in internal and external audits for compliance.
  • Develop and revise formularies for various lines of business, ensuring regulatory compliance.
  • Conduct research for Pharmacy and Therapeutics (P&T) Committee meetings and prepare recommendations.
  • Generate innovative ideas for clinical program development and therapeutic substitution programs.
  • Maintain communication and collaborative relationships with internal and external stakeholders.
  • Mentor students and assist in precepting pharmacy residents.

Benefits

  • Opportunities for professional development and mentorship.
  • Participation in strategic discussions and internal committees.
  • Comprehensive support of continued education requirements.
  • Engagement in innovative projects that influence pharmacy program development.
Full Job Description
Registration as a registered pharmacist (RPh), in the Commonwealth of Pennsylvania or eligibility for licensure by examination or reciprocity is required.

The Senior Clinical Pharmacist must demonstrate multiple years of being a consistent, high-performing team member as measured by both volume and quality of work performed. In addition to consistent, exceptional performance, the Senior Pharmacist must have already demonstrated their initiative and ability to work independently. This role will have completed several stretch projects as outlined by their manager. The stretch projects, in addition to all new projects, would then be the ongoing responsibility of the Senior Pharmacist to manage. This may include but is not limited to, training other staff, actively participating and contributing solutions in strategic discussions, assisting with internal and external audits, and creating and assisting with workflow improvement and efficiency initiatives. Additionally, the Senior Clinical Pharmacist will assist in finding new clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization, and other clinical programs. This role is responsible for the successful and satisfactory completion of additional projects that are beyond their day-to-day tasks.

Responsibilities:
  • The Senior Clinical Pharmacist must demonstrate multiple years of being a consistent, high-performing team member as measured by both volume and quality of work performed. In addition to consistent, exceptional performance, the Senior Pharmacist must have already demonstrated their initiative and ability to work independently. This role will have completed several stretch projects as outlined by their manager. The stretch projects, in addition to all new projects, would then be the ongoing responsibility of the Senior Pharmacist to manage. This may include but is not limited to, training other staff, actively participating and contributing solutions in strategic discussions, assisting with internal and external audits, and creating and assisting with workflow improvement and efficiency initiatives. Additionally, the Senior Clinical Pharmacist will assist in finding new clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization, and other clinical programs. This role is responsible for the successful and satisfactory completion of additional projects that are beyond their day-to-day tasks.
  • The Product Development Pharmacist is responsible for: Assisting with clinical management of the designated line of business (Commercial, Exchange, Medicare, Medicaid, Exchange, and/or CHIP) from a pharmacy formulary and operational perspective and for understanding and complying with rules and regulations affecting the business. Develop and revise various formularies for each line of business including sending communications, training of identified departments, updating all brochures, updating appropriate websites, and submitting change forms. Review new drugs promptly and submit change forms as appropriate. Research adequately and be properly prepared for all P&T Committee meetings, ensuring all recommendations for both new drugs and new policies are appropriate and have been discussed with subject matter experts. Present these assignments succinctly and at a suitable pace and answer relevant questions.
  • Provide innovative ideas for new and existing clinical program development, utilization management, formulary management, provider education, and therapeutic substitution programs. Work with employer clients, account management, and sales in meetings as assigned to improve the understanding of the pharmacy benefit, as well as offering recommendations.

Additional responsibilities for the Sr Pharmacist include:
  • Administrative Participate in meetings, committees, and work groups both internally and externally as assigned. Maintain a solid understanding of the requirements of the Pennsylvania Department of Health, DPW, CMS, and the National Committee for Quality Assurance, specifically as they relate to the expectations of pharmacy operations. Ensure compliance with regulatory and accreditation requirements of clinical functions. Communication Foster and maintain collaborative relationships with internal and external customers. Communicate pharmacy information as appropriate to members, employer groups, and providers. Develop communication materials to providers, including discussions regarding formulary changes/adherence, health education, medication compliance, and trend management.
  • Teaching and Education Mentor students and assist in precepting for the residency program if applicable. Assists in the training of pharmacy personnel.
  • Special Skills/Ability to Interact: Have the ability to function independently, but support team concept. Behavior denotes reliability as demonstrated by prompt attendance and timeliness in completing designated workload and follow-up. Conveys and maintains professional image while interacting with coworkers, providers, and clients. Honor client and patient confidentiality.


Qualifications - Internal

Qualifications:

  • Bachelor of Science Degree in Pharmacy, and/or Doctor of Pharmacy Degree (Pharm.D.) from an accredited U.S. School of Pharmacy.
  • Experience in pharmacy benefit management, insurance, managed care preferred and be knowledgeable in therapeutic interventions and other cost containment programs.
  • One year of experience in a managed care pharmacy setting.
  • Effective communication skills, both written and oral.
  • Must have strong analytical ability and organizational skills.
  • Computer literacy for pharmacy programming, word processing, data management.
  • Assessment of job-related skills and competency will be reviewed annually via daily functioning, job-related documentation, department-based competency programs, and continuing education activities.
    Licensure, Certifications, and Clearances:
    Registration as a registered pharmacist (RPh), in home state. Continuing Education requirements met each bi-annual cycle for re-licensure, as evident by obtaining a minimum of 30 hours of continuing education every 2 years in structured pharmaceutical education as necessary by the state board.
  • Pharmacist
  • Act 34

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