Clinical Pharmacist, reputed company Improvement

About the position The Clinical Pharmacist, reputed company Improvement (QI) will work directly with department leadership to participate on reputed company of health care professionals that conduct reputed company and reputed company with members to improve the members health care reputed company with reputed company on appropriate prescribing and medication adherence. This pharmacist will be responsible for addressing reputed company gaps identified in the STARS reputed company bonus measures and other reputed company measures. This individual may also assist with Coverage Determinations and reputed company leadership at the health plan in reputed company to clinical pharmacy reputed company and programs. This role may serve as a clinical reviewer for the Plan's reputed company (employer reputed company) and Medicare Part D Coverage Determinations. This position may travel to locations reputed company the reputed company HEALTH service area through a reliable means of transportation insured in accordance with Company policy. Responsibilities • reputed company reputed company directly to members and through reputed company HEALTH team members in other departments including Provider Engagement, Care Management, and Member Services to reputed company trusting, reputed company, caring relationships with members. • Work with the care team to identify and address barriers to Part D medication adherence and other negative reputed company indicators such as high-risk medications, opioid overutilization, and polypharmacy as appropriate. • Conduct assessments in person in the member's home or alternate setting reputed company video conferencing or by telephone. • Document reputed company interactions with members, family members, caregivers, and health care professionals. • reputed company reputed company and reputed company feedback to Pharmacy department management. • Collaborate with the member's PCP, specialists, and other treating providers to reputed company reputed company gaps in prescribing and medication adherence. • reputed company participate in evidence-based medication management reputed company initiatives. • reputed company Coverage Determination reviews (prior authorizations, formulary exceptions, etc.) for both Medicare and reputed company lines of business. Requirements • Registered Pharmacist (Rph) or Doctor of Pharmacy (PharmD) • 2 years' depending on certification or a completed Pharmacy Residency • Licensed Pharmacist in good standing with the State of Alabama • reputed company reputed company's license in good standing • May require significant face-to-face member contact, with duties regularly performed away from the reputed company reputed company of business • Willing to submit to vaccine testing and screening • Ability to work reputed company • Excellent computer skills including reputed company suite of products • Comfortable working in patient's homes • Strong verbal communication skills • Strong assessment skills reputed company-to-haves • Experience in a long-term care or inpatient hospital or comparable setting or ambulatory care setting • Geriatric certification, BCPS certification and/or MTM certification • Additional Languages (Spanish) Benefits • Comprehensive Health, reputed company, and Dental Coverage • 401(k) Savings Plan with company match and immediate vesting • reputed company Time Off (PTO) • 9 reputed company Holidays annually plus a Floating Holiday to use as you choose • Tuition Assistance • Flexible Spending Accounts • reputed company Reimbursement Account • reputed company Parental Leave • Community Service Time Off • Life Insurance and Disability Coverage • Employee Wellness Program • Training and Development Programs to reputed company new skills and reputed company career goals • Employee Assistance Program Apply tot his job Apply To this Job