[Hiring] Pharmacist - Case and Disease Management @Highmark Health

Role Description

This job works as part of a product-line specific (MA, ACA, Commercial) multi-disciplinary team to close gaps in care for high-risk members. Through the multi-disciplinary team, patients who have high risk gaps in care related to medication therapy are transitioned to a Pharmacist for Case & Disease Management (CMDM). The incumbent then conducts thorough research to evaluate the patient and extensive clinical judgement and discretion to provide recommendations for closing the gap in care. The incumbent may interact with the patient or care giver, physician, and/or pharmacist through the intervention.

Essential Responsibilities

• Review gaps in care for high risk patients as part of a multi-disciplinary team.
• Conduct research including gathering claims data, reviewing clinical websites, etc. to thoroughly evaluate each patient's unique situation to provide the appropriate clinical recommendation.
• Contact patients, care givers, physicians, pharmacists, etc. to intervene on identified gaps of care using a high level of clinical judgement and discretion.
• Other duties as assigned.

Qualifications

• Required: Bachelor's Degree in Pharmacy
• Preferred: Doctorate in Pharmacy

Requirements

• Required experience can be reduced from 3-5 to 1-2 years if the candidate completed a clinical residency program.
• 5 - 7 years in Pharmacy.
• 3 - 5 years in Pharmacist - Utilization Management.
• 3 - 5 years in Pharmacist - Medical Therapy Management.

Licenses and Certifications

• Required: Registered Pharmacist

Skills

• Oral & Written Communication Skills
• Telephone Skills
• Problem Solving & Decision Making
• Compliance
• Collaborative Problem Solving
• Language (Other than English): None

Travel Requirement

• 0% - 25%

Physical, Mental Demands and Working Conditions

• Position Type: Office-based
• Teaches / trains others regularly: Occasionally
• Travel regularly from the office to various work sites or from site-to-site: Rarely
• Works primarily out-of-the office selling products/services (sales employees): Never
• Physical work site required: Yes
• Lifting: up to 10 pounds: Constantly
• Lifting: 10 to 25 pounds: Occasionally
• Lifting: 25 to 50 pounds: Rarely

Pay Range

• Minimum: $118,400.00
• Maximum: $196,800.00