Managed Care Pharmacist
- Requisition ID
- 185571
- Department
- 500625 Pharmacy
- Schedule
- Full Time - Eligible for Benefits
- Shift
- Day
- Category
- Allied Health
Position Purpose | |
Under the supervision of the Manager of Pharmacy Services, assists in coordinating, developing, implementing, and monitoring drug utilization review activities.Assists with managing the formulary including education of members, providers, and internal staff about changes to the formulary and formulary management.Reviews drug Prior Authorization request that come to Hometown Health.Provides Pharmacist support to Senior Care Plus Med D Plans. | |
Nature and Scope: | |
This position is responsible for the utilization review activities, formulary development and management, coordination of educational outreach to providers on a periodic basis related to MAPD and Medicare Part D Formularies.To perform the functions of this position, the pharmacist must have: · Excellent oral and written communication skills; Clinical background and the ability to work independently as well as in a team setting; Communicate effectively with providers, members, and other operational departments of Hometown Health and our PBM; Communicate and collaborate with many types of health care professionals; Able to accept responsibility, and complete work on multiple assignments; and Working knowledge of Government Pharmacy Programs such as Medicare Part D. This position does not provide patient care.This position coordinates patient care. | |
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. | |
Minimum Qualifications:Requirements - Required and/or Preferred | |
Education: | Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelor of Pharmacy or preferably Doctor of Pharmacy Degree. Appropriate education to obtain and maintain Registered Pharmacist licensure in the State of Nevada. |
Experience: | Minimum of three years as a practicing pharmacist, in a managed care setting preferred (working knowledge of managed care, formularies, DUE/DUR process); Medicare D benefit, management experience is preferred. |
License(s): | Current and unrestricted state of Nevada Pharmacy License |
Certification(s): | |
Computer / Typing: | Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. |
Benefits
Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.
With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.
Paid Time Off
401(k) Company Match
Flexible Work Environment
Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
For Providers: Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.