Clinical Pharmacist - Remote (PA/NJ/DE)
Under the direction of the Manager, Case Management works with members/providers to address and optimize members medication profiles. The associate will focus on assessing, and monitoring member’s drug therapies. The associate identifies issues, makes recommendations works with the health care team and implements interventions. The Clinical Pharmacist facilitates communication and serves as a liaison and educator between the member, family, the Plan, and all members of the health care team, thus promoting high quality, cost-effective services.
Duties and Responsibilities:
Responsible for evaluating members entire medication profile and optimizing member’s drug therapy
Appropriately contacts and assesses the member to identify and resolve medication gaps
missing medication and affordability issues
prior auth issues and appeals
Address Polypharmacy and works to reducing the number of medications to increase adherence.
The associate optimizes the member’s benefit by promoting effective and efficient use of health care / Pharmacy resources.
Address inappropriate/missing medications
Educate on benefits, formulary
Routinely provides members with proper information for the safe and effective use of medications
Drug therapy optimization, ensuring proper drug dosage and cross-drug utilization
Improve medication adherence
address patient/family concerns/questions, and provide education on pharmacotherapy
Adverse side effect mitigation
Drive towards most cost-effective medications
Reduce pharmacy and medical spend
Coordinate recommendations with nurse health coach and member’s providers
Monitors the effectiveness of the Medication plan and documents interventions and follow-up
Accurately documents within the manage care system, utilizing appropriate standard templates and identifies themselves as the Clinical pharmacist working with the member.
The associate develops a strong understanding of community resources with may be recommended to support the member/family beyond the Plan’s benefit parameters
The associate provides exceptional customer service to all internal and external customers.
- Maintains current knowledge necessary to provide pharmacy services of the highest standards
Other duties as assigned
Required Qualifications:
- Doctor of Pharmacy or Bachelor of Science Degree in Pharmacy plus 1-3 years of relevant clinical experience
- Active State Pharmacy License
- At least 5 years practice experience or accredited Managed Care Residency
- Current knowledge and expertise in clinical pharmacology, disease management and managed care
- Experience with team-based care
- Self-management Skills – self-motivated, organized, detail oriented and manages time and resources effectively. Must be able to work independently in a collaborative environment, be self-directed and possess excellent organizational and time management skills
- Computer/Technology Competency: Proficient in use of Microsoft Word, Excel, and Outlook
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.