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Clinical Pharmacist (TN)
Ref No.: 20-05340
Location: Nashville, Tennessee
The Clinical Pharmacist assists with the execution of numerous initiatives that improve the quality and effectiveness of drug therapy for *** Medicare members. In this role, you will work on a high performing team of professionals across multiple functions and complete comprehensive medication reviews for high risk customers. These reviews include but are not limited to the assessment of drug interactions, therapeutic duplications, renal and hepatic dosing adjustments, evidence-based gaps in care, STAR-related pharmacy opportunities, and medication cost and adherence barriers.

  • Working collaboratively with multiple stakeholders in order to improve our customer's care coordination and healthcare outcomes
  • Responsible for gathering and reviewing pertinent health data from pharmacy claims, medical databases, and internal clinical resources in order to complete comprehensive medication reviews
  • Documenting and tracking customer's personalized recommendations in a centralized database
  • Participating in quality improvement programs and initiatives driven by business needs
  • Understanding the *** Medicare suite of Clinical programs, identifying practice opportunities, and integrating the clinical programs and resources into the practice workflows with the intent to optimize the customer experience, quality of care provided, and positively impact resource utilization
  • Attend ***-Medicare health improvement events as needed
  • May assist with projects involving utilization management analysis, including but not limited to medication adherence and compliance
  • Handles phone inquiries from physicians, the clinical staff, and ***-HealthSpring members

  • 1+ years experience in Pharmacy Managed Care and/or Medicare/Medicaid experience required

Key Skill:
  • Experience working with MTM applications required; AdhereHealth P3Link platform preferred
  • Excellent verbal and written communication skills
  • Proficient technical skills utilizing Microsoft Office such as Word, Excel, PowerPoint, and Outlook

  • Bachelor's Degree in Pharmacy required; PharmD preferred
  • Licensed Pharmacist required - must have an active license in the state they reside in
  • Residency or Board Certification preferred

  • English Read Write Speak