• Aid in preparation and maintenance of commercial formulary files which includes marketing documents, web-based search files, etc.
• Research formulary and adjudication-related issues and resolve them timely and appropriately
• Analyze impact reports to identify appropriate courses of action for members impacted by formulary and adjudication changes
• Serve as the subject matter expert with regard to formularies for all internal and external stakeholders
• Ensure that the administration of the formularies is accurate with regard to the adjudication of claims
• Participate in multidisciplinary rounds for the medical, surgical, stroke, NICU and telemetry floors
• Ensures the safe and effective use of medications by providing medication order verification while assessing for optimal drug product selection, dosage regimen design, effective administration and drug therapy monitoring services in the health system.
• Monitors inpatient and outpatient drug therapies when appropriate and Works with medical staff to find alternatives when needed.
• Evaluate patient care plans, and medication therapy and resolve medication-related problems and issues, including categorization of patient-specific therapies to optimize pharmaceutical care.
• Provide and develop a comprehensive, patient-focused, clinical pharmacy service

Skills: Formulary Management, Problem-Solving Skills, Data Analysis, Subject Matter Expertise, Claims Adjudication, Interdisciplinary Collaboration, Clinical Pharmacy Practices, Patient Care Optimization

• Provides formulary management oversight and supports the Pharmacy & Therapeutics (P&T) Committees and Subcommittees
• Prepares and/or oversees the preparation of evidence-based monographs and class reviews for P&T Committees
• Coordinates and/or participates in Medication Use Evaluations
• Participates in the development of clinical guidelines, policies, and protocols to optimize medication utilization
• Contributes to the development and oversight of policies & procedures to ensure compliance with regulatory bodies and law and assists with readiness for audits and surveys
• Educates health care professionals using multiple communication methods, such as newsletters, emails, and the online formulary
• Performs evidence-based scientific evaluation of medical literature
• Assists in medication event review and promotes event reporting throughout the organization to maintain a fair and just culture
• Assists in patient safety investigations
• Precepts and provides experiential training to pharmacy students and residents

Skills: Formulary Management, Evidence-Based Medicine, Medication Use Evaluation (MUE), Clinical Guidelines Development, Regulatory Compliance and Audits, Educational Outreach, Patient Safety and Event Reporting, Pharmacy Training and Mentoring

• Participate in adverse drug reaction reporting, clinical contribution monitoring and clinical risk management
• Supervision of dispensary when appropriate, including clinical screening of medicines
• Assisting in Medicines Management audits
• Taking drug histories and medication chart monitoring
• Providing advice to patients and healthcare professionals
• Improves patient care outcomes through formulary management, medication use policy development, and P&T Committee initiatives
• Identifies high cost, high volume, and/or high-risk drugs to monitor appropriate use and develop organizational approaches and strategies to optimize medication use
• Collaborates with pharmacy, nursing, and medical leadership to ensure a model of continuous regulatory readiness
• Performs routine audits and/or reviews to evaluate formulary compliance and quantify impact of institutional decisions, guidelines, and initiatives
• Coordinates and/or participates in other identified quality initiatives, based on the needs of the department or organization
• Supports the planning, designing, implementing, evaluating, and maintaining medication use processes for improvement initiatives as it relates to formulary management, process improvement and optimization of medication use

Skills: Clinical Screening and Medicines Management, Medication History and Chart Monitoring, Patient and Healthcare Professional Consultation, Formulary Management and Policy Development, High-Risk Drug Monitoring and Strategy Development, Regulatory Compliance and Collaboration, Quality Improvement and Audit Coordination

• Evaluate and enters provider’s orders/prescriptions for appropriateness of therapy.
• Evaluate incompatibilities, side effects and interactions of drugs and drug products, and resolves drug-related questions with the prescriber.
• Documents all medical information into the patient’s electronic medical record utilizing the VA’s VISTA/CPRS electronic patient record system. 
• Maintains records of drugs, allergies, and other pertinent information in patient’s medication profiles.
• Maintains confidentiality of veterans’ data and information. 
• Protect private information of patients under provisions of Privacy Act of 1974 and other laws, federal regulations, VA statues and policy.
• Protect that information from unauthorized release.
• Provides patient consultation by reviewing patient profiles and medication orders. 
• Evaluate patient’s ability to understand medication instructions, and provides oral and written counseling on drug therapy.
• Provides drug information consult to providers, staff and other healthcare professionals.
• Maintain a record of all C2 prescriptions ordered by providers in clinic.

Skills: Medication Therapy Management, Drug Interaction and Safety Analysis, Electronic Medical Record (EMR) Management, Patient Medication Profile Management, Confidentiality and Data Protection, Patient Counseling and Education, Drug Information Consultation, Controlled Substance Record Keeping

• Serve as a clinical subject matter expert and liaison to the Technology and the Client Engagement/Sales teams
• Develop and communicate clinical insight to key stakeholders
• Review, analyze and provide clinical analysis to support internal business goals and advise clients
• Maintain current knowledge of pharmacy/medical trends within the healthcare setting
• Assist in the development of new clinical pharmacy services product offering
• Create, maintain, and enhance clinical data analytics
• Co-ordinate the day to day running of the Pharmacy Medicine team and manage junior pharmacists.
• Work closely with the multi-disciplinary team to provide a consistently highly specialist pharmaceutical service to patients within the Medicine Directorate and within other clinical areas
• Support the development of junior pharmacy staff through teaching and supervision including pre-registration pharmacists and diploma students.
• Participate and lead on improvement initiatives aimed at optimising medicines use and developing clinical services.

Skills: Clinical Subject Matter Expertise, Clinical Insight Communication, Clinical Analysis and Reporting, Pharmacy/Medical Trend Analysis, Clinical Data Analytics, Team Coordination and Management, Education and Supervision of Pharmacy Staff, Improvement Initiatives and Service Development

• Obtaining medication orders
• Complete medication reconciliation
• Work with care coordination team to ensure medication provided until PCP follow-up
• Post PCP visit medication follow reconciliation
• Review clinical reporting to identify chronic care patients that would benefit from pharmacy services
• Review med history of identified patients
• Provide patient outreach and med rec services including a Comprehensive Medication Assessment
• Enroll patients in chronic care management and work with central pharmacy obtain and process prescriptions
• Communicate with providers regarding services provided
• Supporting the member education goals regarding specific chronic condition based on the Plan of Care
• Support the evolution of pharmacy services delivery for key patient populations if applicable.
• Communicate in a professional manner.

Skills: Medication Reconciliation, Care Coordination, Clinical Reporting Review, Patient Medication History Review, Comprehensive Medication Assessment, Patient Enrollment in Chronic Care Management, Professional Communication, Member Education Support

• Remain objective in review and not biased in any way in the delivery of care to the patient.
• Administer tasks as detailed in the member-specific Plan of Care.
• Complete clear and concise documentation in Care Management programs.
• Participate in weekly Complex Case Reviews.
• Comply with Customer Service expectations as applicable to the Department and Health Plan.
• Comply with all departmental policies and procedures.
• Participate in departmental and company in-services as appropriate.
• Recognize and adhere to the scope/limitations of job requirements.
• Comply with all departmental policies and procedures. 
• Participate in departmental and company in-services as appropriate
• Maintain a record of all 10-day urgent prescriptions prescribed by clinic provider and obtained by the patient from a local pharmacy vendor.
• Resolves prescription problems concerning the mail-order process.

Skills: Patient Care Management, Documentation Accuracy, Complex Case Review Participation, Customer Service Excellence, Policy and Procedure Compliance, In-Service Participation, Prescription Management, Scope and Limitations Adherence

• Experience in participating in multidisciplinary rounds for the medical, surgical, stroke, NICU and telemetry floors
• Experience in ensuring the safe and effective use of medications by providing medication order verification while assessing for optimal drug product selection, dosage regimen design, 
• Effective administration and drug therapy monitoring services in the health system.
• Monitors inpatient and outpatient drug therapies when appropriate and Works with medical staff to find alternatives when needed.
• Evaluate patient care plans, and medication therapy and resolve medication-related problems and issues, including categorization of patient-specific therapies to optimize pharmaceutical care.
• Experience in a hospital or clinic as a practicing pharmacist.
• Knowledge of current BLS certification
• Demonstrate strong organizational, prioritization, communication, listening and mathematical skills.
• Must communicate effectively with patients and staff.
• Exhibit integrity and honesty consistent with the responsibility of handling patient information.

Qualifications: BS in Pharmacy with 3 years of Experience

• Current, unrestricted registered pharmacist license(s)
• Pharmacy experience working for a health plan or PBM
• Knowledge of client benefit design for all lines of business including Commercial, Medicare Part D, and Risk Agreements.
• Knowledge of the formulary development and maintenance processes
• Knowledge of highly managed specialty medications/strategy
• Proficient in Microsoft office suite with emphasis on Microsoft excel
• Experience working with large datasets preferred
• Ability to balance multiple complex projects simultaneously
• Exceptional written and verbal communication skills
• Extremely flexible, highly organized, and able to shift priorities easily
• Attention to detail & commitment to delivering high-quality work products.

Qualifications: BA in Pharmacology with 2 years of Experience

• PGY2 Residency and/or Fellowship Training in Ambulatory Care or in direct Ambulatory Care.
• Board Certified Ambulatory Care Pharmacist 
• Excellent interpersonal and organizational skills
• Understanding of insurance practices
• Understanding of telehealth practices
• Experience with Computer 
• APPE Student precepting and Board certification
• ACPE-accredited IV certification
• Completion of residency in pharmacy practice (PGY1
• Experience in an area of specialty or completion of an ASHP-accredited residency program in the area of specialty

Qualifications: BS in Biochemistry with 2 years of Experience

• Ability to complete an ACPE-approved 20-hour sterile products course
• Knowledge of PGY2 and APGY1 Pharmacy residency
• Currently licensed in good standing to practice pharmacy in the state of Virginia
• Ability to maintain competency in unique aspects of drug therapy for patients in area of specialty
• Hospital experience with a strong clinical pharmacy background
• Demonstrate professional and clinical knowledge of current drug therapy
• Ability to provide clinical leadership and education
• Experience as a registered pharmacist in a health system pharmacy
• Experience initiating and developing services
• Currently working as a clinical pharmacist onwards

Qualifications: BS in Pharmaceutical Sciences with 3 years of Experience

• Experience in Hospital pharmacy 
• Knowledge of Current D.C. license
• Knowledge of the theory and practice of pharmacy service, good written and verbal communication skills.
• Demonstrate and maintain current knowledge and skills in providing appropriate care for patients in the following age groups such as geriatric, adult, adolescent, pediatric, and neonate.
• Knowledge in a basic understanding of changes in physiology in various age groups, 
• Knowledge of the relationship of drug pharmacokinetics in various age groups, 
• Knowledge of the relationship of age and the proper selection of drugs about diseases,
• Knowledge of a complication of disease processes, and common causative organisms, 
• Knowledge of the toxicities of drugs unique to different age groups.
• Knowledge of CPD portfolio
• Working towards RPS Faculty accreditation

Qualifications: BA in Biology with 4 years of Experience

• Good standing, with a valid license in the state of practice.
• Ability to apply mathematical operations to such tasks as dosage calculation, formulation of pharmaceutical preparations and data analysis
• Ability to define problems, collect/analyze data, establish facts and draw valid conclusions 
• Knowledge of HIPAA Privacy and Security Regulations
• Knowledge of the Joint Commission accreditation process and overall JC standards is preferred.
• Experience in the field of intravenous admixing of all types with an understanding of stability and compounding preferred.
• Knowledge of current Pharmacist licensure
• Experience in a hospital
• Completes computer skills training curriculum for pharmacists in EPIC. 
• Reads and speaks the English language fluently.
• Demonstrable hospital experience in general clinical practice, including medical and surgical wards. 

Qualifications: BS in Chemistry with 5 years of Experience

• RPH license must be current and in good standing
• Experience as a licensed RPh
• Strong drug product and clinical pharmacy knowledge.
• Experience in Clinical Contact Center environment.
• Experience completing case reviews to arrive at evidence-based recommendations.
• Execute and deliver within the confines and timeframes provided by Medicaid which may include non-standard business hours.
• Experience interpreting medical guidelines and drug compendia.
• Experience working within a PBM or Health Insurance Plan.
• Care experience would be a great advantage.

Qualifications: BA in Public Health with 2 years of Experience