[Hiring] Pharmacist, Clinical/Medication Therapy Management @Molina Healthcare

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Role Description

This role involves supporting our Medication Therapy Management (MTM) and clinical pharmacy services activities, contributing to the overarching pharmacy strategy for optimization of medication-related health care outcomes and quality cost-effective member care.
• Facilitates Medication Therapy Management (MTM) support including examination of member medical records, comprehensive medication reviews, and communication with members and providers.
• Reviews member medication profiles and applies evidence-based medicine and national guidelines when creating recommendations for health care providers.
• Analyzes and reviews medication lists for potential patient safety issues, including drug interactions and suboptimal medication regimens.
• Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines.
• Articulates pharmacy management policies and procedures to pharmacy/health plan providers and Molina staff.
• Performs prior authorization reviews of high-cost medications and deferred authorization requests.
• Researches, develops, and implements drug utilization and disease state management strategies.
• Assists in coordination of care for pharmacy-related issues between members, providers, and the interdisciplinary care team (ICT).
• Follows up with members and providers to check on progress toward meeting drug treatment goals.
• Serves as a drug information resource to pharmacy staff, medical affairs staff, and providers.
• Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track trends in drug utilization.
• Works with healthcare services team on member-centered interdisciplinary teams.
• May prepare drug monographs and utilization reports for the Pharmacy and Therapeutics (P&T) committee.
• Assists leadership in developing/updating policies and procedures to comply with regulations.

Qualifications
• At least 3 years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting.
• Doctor of Pharmacy (PharmD). License must be active and unrestricted in applicable state(s) of practice.
• Demonstrated knowledge and expertise in clinical pharmacology and disease management.
• Clinical skills related to Medication Therapy Management (MTM).
• Demonstrated knowledge of best practices in Medication Therapy Management Program (MTMP) related disease states.
• Ability to present ideas and information concisely to varied audiences.
• Knowledge of processes and systems, and ability to develop and deliver necessary training.
• Ability to develop and maintain positive and effective work relationships.
• Proficiency in compiling data, creating reports, and presenting information.
• Ability to meet established deadlines.
• Functions independently and manages multiple projects.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office suite (including Excel) and applicable software programs.

Requirements
• Bilingual Spanish is a plus but not required.
• MTM experience within an MCO preferred.
• Retail experience.
• Strong organization, initiative, and problem-solving skills.
• Ability to manage and prioritize a high-volume workload.

Preferred Qualifications
• Board Certified Ambulatory Care Pharmacist (BCACP).
• American Pharmacist's Association Medication Therapy Management (MTM) certificate.
• Medicaid and/or Medicare experience.
• Clinical skills or pharmacotherapy expertise for Medication Therapy Management Programs (MTMP) related conditions and medications.
• Experience with team-based care.

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

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