PHARMACIST - MEDICATION ACCESS SERVICES (80 HOURS PER PAY PERIOD)

Job Description

Job Description:

This role will be on-stie at Essentia Health Mid-Dakota 9th St Clinic. Along with Medication Access Service tasks, this position will also provide supporting distributive CAM functions, infusion/compounding functions at the site’s infusion center, and other pharmacy-based clinic functions as needed.The Essentia Health Pharmacist-Medication Access Services will practice in an integrated, team-based care model providing clinical support of Medication Access Services team members. Primary responsibilities include but are not limited to benefits investigation and qualification of coverage, facilitating prior authorizations (PA), evaluating and supporting appeals requests, and conducting utilization management functions. The pharmacist will collaborate with nurses, providers, and other care team members with regard to coverage of patients’ medications to achieve excellent patient care and desired outcomes. The pharmacist will support all aspects of daily activities including monitoring and assisting in directing programs to optimize drug utilization based on different third-party plan prior authorization criteria and prescribing patterns for designated drug therapies; supporting patient assistance program (PAP) team members with regard to clinical questions and patient counseling of medications dispensed to patients under PAP; supporting clinical criteria needed for accurate Medicare Part B billing for EH retail pharmacies; training of new staff and pharmacy students; resolution of patient issues; assisting in quality improvement initiative; and other duties assigned by the Medication Access Services Pharmacy Operations Manager.

Education Qualifications:

Key Responsibilities:

• Clinical evaluation and benefits investigation on CAM orders placed by Essentia Health Providers
• Support Medication Access Associates with clinical questions when submitting prior authorization, verifying Medicare prescription eligibility, and applying for patient assistance
• Optimize drug utilization of designated drug therapies such as specialty-lite medications
• Navigate the electronic medical record to properly determine patient qualifications for a drug per third party requirements
• Effectively communicate and collaboration with providers, nursing staff, pharmacies, third parties, and software vendor to work through claims adjudication and processing issues coverage of patients’ medications to achieve excellent patient care and desired outcomes
• Provide direct patient interaction and counseling patients with their Manufacturer-based Patient Assistance Program medications

Educational Requirements:

• Pharm.D. or B.S. Pharmacy from a college of pharmacy accredited by the American Council on Pharmaceutical Education

Required Qualifications:

• Minimum 1 year of experience as a practicing pharmacist

Preferred Qualifications:

• Successful completion of a residency program preferred
• Experience in managed care, formulary management, or medication therapy management preferred

Licensure/Certification Qualifications:

Certification/Licensure Required:

• Licensed as a Registered Pharmacist by the Board of Pharmacy of the state in which they will be working (Minnesota, Wisconsin, North Dakota) within 90 days of hire.

Job Location: Essentia Health - Mid Dakota Bismarck 9th St Clinic
Shift Rotation: Day Rotation (United States of America)
Shift Start/End: /
Hours Per Pay Period: 80
Compensation Range: $130478 - $167274 / year
Union:
FTE: 1
Weekends:
Call Obligations:
Sign On Bonus: