Clinical Pharmacist - Outreach Quality and Affordability
About the position
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/. The Clinical Pharmacist – Outreach Quality and Affordability is responsible for developing individual and population-based solutions to improve HEDIS performance, support affordability , partner on complex case management, and conduct comprehensive and targeted medication management in selected members to identify, resolve, and prevent medication-related problems. The Clinical Pharmacist documents the care delivered and communicates essential information in PBC’s documentation system, along with providing the member’s health care providers and the health care team. The Clinical Pharmacist is also focused on achieving optimal use of medications, emphasizing dosing, monitoring, identification of adverse effects, and economic efficiency to achieve optimal member outcomes. This position will collaborate closely with case management, quality, medical management and pharmacy and client consulting teams.
Responsibilities
• Utilize prescription and medical claim data to generate clinical recommendations for medication management and retrospective Drug Utilization Review (DUR)
• Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
• Assist case managers in identifying and eliminating barriers to care.
• Provide telephonic consultation and as required, visits to provider clinics and member homes.
• Help design drug therapy components of disease management algorithms.
• Utilize health plan’s formulary information to guide appropriate medication recommendations
• Knowledgeable of current and emerging clinical, operational, and management trends
• Active participation in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information
• Continuously look for ways to streamline and improve workflow
• Assist with user acceptance testing for new clinical programs and system enhancements.
• Assist Pharmacy leadership in analyzing and researching pharmacy cost trends and clinical program opportunities.
• Support and serve as a preceptor for pharmacy students and/or residents, introducing them to drug utilization management and care management activities.
• Perform other duties as assigned.
Requirements
• Pharmacist Degree (Required)
• Active WA State Pharmacist license (Required)
• Clinical pharmacy training, clinical residency training preferred from an accredited PGY-1 Residency program (Required)
• Two (2) years’ experience as a pharmacist (Required, 3 years preferred)
Nice-to-haves
• Ambulatory and clinic base care experience
• Completion of PGY-1 residency
• POP Health experience
• Clinical program development
• Motivational Interviewing Skills
Benefits
• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance for paw parents.
• Life and disability insurance.
• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
• Generous paid time off to reenergize.
• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
• Employee recognition program to celebrate anniversaries, team accomplishments, and more.
• For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
• Commuter perks make your trip to work less impactful on the environment and your wallet.
• Free convenient on-site parking.
• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
• Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
• Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.
Apply Now
Apply Now
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/. The Clinical Pharmacist – Outreach Quality and Affordability is responsible for developing individual and population-based solutions to improve HEDIS performance, support affordability , partner on complex case management, and conduct comprehensive and targeted medication management in selected members to identify, resolve, and prevent medication-related problems. The Clinical Pharmacist documents the care delivered and communicates essential information in PBC’s documentation system, along with providing the member’s health care providers and the health care team. The Clinical Pharmacist is also focused on achieving optimal use of medications, emphasizing dosing, monitoring, identification of adverse effects, and economic efficiency to achieve optimal member outcomes. This position will collaborate closely with case management, quality, medical management and pharmacy and client consulting teams.
Responsibilities
• Utilize prescription and medical claim data to generate clinical recommendations for medication management and retrospective Drug Utilization Review (DUR)
• Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
• Assist case managers in identifying and eliminating barriers to care.
• Provide telephonic consultation and as required, visits to provider clinics and member homes.
• Help design drug therapy components of disease management algorithms.
• Utilize health plan’s formulary information to guide appropriate medication recommendations
• Knowledgeable of current and emerging clinical, operational, and management trends
• Active participation in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information
• Continuously look for ways to streamline and improve workflow
• Assist with user acceptance testing for new clinical programs and system enhancements.
• Assist Pharmacy leadership in analyzing and researching pharmacy cost trends and clinical program opportunities.
• Support and serve as a preceptor for pharmacy students and/or residents, introducing them to drug utilization management and care management activities.
• Perform other duties as assigned.
Requirements
• Pharmacist Degree (Required)
• Active WA State Pharmacist license (Required)
• Clinical pharmacy training, clinical residency training preferred from an accredited PGY-1 Residency program (Required)
• Two (2) years’ experience as a pharmacist (Required, 3 years preferred)
Nice-to-haves
• Ambulatory and clinic base care experience
• Completion of PGY-1 residency
• POP Health experience
• Clinical program development
• Motivational Interviewing Skills
Benefits
• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance for paw parents.
• Life and disability insurance.
• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
• Generous paid time off to reenergize.
• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
• Employee recognition program to celebrate anniversaries, team accomplishments, and more.
• For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
• Commuter perks make your trip to work less impactful on the environment and your wallet.
• Free convenient on-site parking.
• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
• Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
• Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.
Apply Now
Apply Now