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PacificSource Health Plans · 1 week ago

Clinical Pharmacist - Temporary

Boise, ID

Full-time

Onsite

Mid Level

3+ years exp

PacificSource Health Plans is seeking a Clinical Pharmacist to help members access quality, affordable care. The role involves participation in day-to-day Pharmacy Services operations, including drug coverage decisions, policy development, and compliance with regulations.

CommunitiesCustomer ServiceNon Profit

Responsibilities

Provide drug coverage determinations for members with PacificSource Health Plans

Provide effective communication for members, providers, and internal staff through various platforms such as clinical calls, coverage determination letters, and email

Support clinical meetings with internal and external stake holders as requested

Review prescription formularies and criteria for needed updates based on clinical guidelines

Participate in P&T Committee meetings through review of new drugs, drug classes, and authorization policies with presentation of materials to staff members prior to meetings and to committee members during meetings

Lead and / or assist in projects as assigned

Stay up to date on State and Federal regulations as they relate to health insurance coverage

Stay up to date on quality measures pertinent to Pharmacy Services

Keep current with new and emerging clinical trends

Act as backup for other team members and departmental functions

Work with Clinical Pharmacy Manager and/or designee to improve processes, systems, reporting, and services provided by the department

Represent Pharmacy Services Department, both internally and externally, as requested

Meet department and company performance and attendance expectations

Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information

Perform other duties as assigned

Qualification

Pharm DBS PharmacyRegistered PharmacistPharmacy Services KnowledgeMicrosoft Office SuiteCommunication SkillsOrganizational SkillsProblem SolvingTeamwork

Required

Required to be a registered pharmacist with either Pharm D degree or Bachelor of Science in Pharmacy

Ability to adapt and prioritize within a fast-paced environment

High attention to detail

Knowledge and comprehension of pharmaceutical services, including federal and state statutes and regulations as they pertain to the insurance-related pharmacy services and benefits administration

Ability to assess pharmaceutical alternatives, treatment plans, drug technologies and new approaches to delivering pharmacy services

Strong verbal and written communication skills

Proficiency in Microsoft Office Suite

Ability to work independently and within groups with minimal supervision

Three or more years of pharmacy related work-experience

Meet department and company performance and attendance expectations

Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information