The Health Plan of West Virginia Inc logo
The Health Plan of West Virginia Inc1 day ago

Clinical Pharmacist

Hybrid · Wheeling, West Virginia, United States

Type
Full Time
Level
Mid Level
Education
Doctorate Or Professional Degree
Company size
Unknown

Job Summary

Clinical Pharmacist with responsibility for applying pharmacotherapeutic principles and disease-state/population management to deliver safe, appropriate, and cost-efficient pharmaceutical care. Develop and present new drug policies for the P&T Committee; collaborate with Health Plan physicians, pharmacists, nurses, and staff to perform utilization review of drugs and educate on policies; review literature and guidelines to support policy development; participate in CM/UM case conferences; provide clinical support for pharmacy benefits; conduct comprehensive MTM and medication reviews; work within interdisciplinary care teams to close gaps in care, reduce readmissions, and improve outcomes; ensure compliance with NCQA and CMS standards; update knowledge base on federal/state requirements; lead or contribute to policy writing and workflow improvements; support after-hours decision-making and respond to questions from members and providers.

Required Qualifications

  • Doctorate of Pharmacy or Bachelor of Pharmacy with active and unrestricted license as a registered pharmacist in the U.S.
  • Board of Pharmacy licensure in good standing
  • Ability to complete accurate documentation of utilization management decisions, medication reconciliations and medication reviews
  • Strong communication, problem solving, critical thinking, judgment and time management skills
  • Ability to work independently and carry out assignments to completion without direct supervision
  • Flexibility, ability to multi-task in a fast-paced environment, adapt to changing processes and priorities
  • Ability to work as a team member
  • Proficiency with Microsoft Office (word processing and spreadsheets) and the ability to navigate multiple systems
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The Health Plan of West Virginia Inc

Clinical Pharmacist

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