Clinical Pharmacist

Job Description Summary ‎ The Clinical Pharmacist I supports clinical pharmacy programs by performing medication therapy review, drug utilization review, patient and provider outreach, and medication-related quality initiative support within established protocols. This job applies clinical pharmacy training to routine patient care situations. Clinical Pharmacist I makes clinical decisions within defined scope, with close guidance from senior clinical pharmacy staff. This job builds practical experience in value-based care, medication adherence, high-risk medication review, and interdisciplinary collaboration while contributing to safe, effective, and affordable medication use. ‎ How will you make an impact & Requirements ‎ KEY RESPONSIBILITIES - Conduct medication therapy reviews and targeted patient outreach for routine clinical pharmacy initiatives under established protocols. - Review medication-related quality care gaps, including adherence and statin-use opportunities, and support patient or provider follow-up to improve outcomes. - Assess prescription histories, medication lists, refill patterns, and basic drug utilization information to identify issues requiring pharmacist intervention or escalation. - Collaborate with providers, care managers, pharmacy technicians, and other care team members to support medication adherence, safety, affordability, and access. - Educate patients and caregivers on medication use, adherence barriers, affordability resources, and pharmacist-approved care plan actions within scope. - Document clinical assessments, outreach results, recommendations, and follow-up actions accurately in applicable systems. - Review pharmacy technician-collected medication histories and outreach documentation for accuracy and clinical relevance as needed. - Perform comprehensive utilization management reviews for Medicare Part B-covered medical drugs, including evaluation of medical necessity, alignment with FDA labeling and compendia-supported indications, prior authorization requests, step therapy protocols, and site-of-care optimization to support cost-effective, high-quality outcomes while minimizing total cost of care. - Collaborate cross-functionally with medical directors, providers, and care management teams on Part B and Part D drug utilization trends, denial/appeal processes, and exception requests; apply evidence-based criteria and Medicare coverage determinations to ensure appropriate utilization, support Stars/HEDIS quality measures, and drive value-based care initiatives such as biosimilar adoption and transitions from hospital outpatient to lower-cost infusion settings. - Participate in an interdisciplinary Model of Care for Medicare Special Needs Populations. QUALIFICATIONS - Doctor of Pharmacy degree or other pharmacy degree from an ACPE-accredited College of Pharmacy required. - Active, unrestricted pharmacist license in the applicable state of practice required;collaborative practice certification, or related advanced credential may be required based on patient population and business need - Additional state pharmacist licenses may be required based on patient population and business need or willingness to obtain as required. - Completion of accredited pharmacy training required; residency, managed care experience, ambulatory care experience, or value-based care experience preferred. - Basic knowledge of medication therapy management, drug utilization review, medication adherence, quality measures, patient counseling, and provider collaboration. Benefits: - 3 weeks PTO & 8 paid holidays - Medical, Dental, Vision - Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment) - 401(k) with match - Employee Wellness - Other Employee Discount programs like Tickets at Work and cell phone discounts - Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet I