Pharmacist

Key Responsibilities:(Company Job Description)

Develop and conduct quality improvement programs related to the pharmacy program  

Develop and implement clinical educational programs to improve drug utilization and quality  

Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives

Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans  

Provide medication therapy management (MTM) services  

Monitor MTM objectives and high risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight  

Develop and conduct retrospective drug use reviews  

Review medication prior authorization requests and appeals as they may pertain to MTM objectives  

Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others.  

Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit  

Consult with clinicians and pharmacists to resolve pharmacy benefit issues