Job Description

Responsibilities

• Provides evaluation of member Rx needs and therapies through review of medication history to determine if medications are appropriate
• Assesses member compliance with plan through direct contact with members and their physicians
• Determines potential barriers to compliance and identifies solutions to overcome barriers
• Ensures that members understand appropriate use of current prescriptions
• Reviews medications with physicians when therapies do not meet national standards and counsels physicians around alternative medications
• Serves as a resource to the clinical team in disease management and other clinical areas

Requirements

• Requires BA/BS in Pharmacy
• Minimum of 2 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
• Current unrestricted Pharmacist license in applicable state(s) required
• Preferred: PharmD
• Experience with direct patient counseling or education
• Call center experience

Core Competencies

Demonstrates expertise in evaluating member prescription needs and ensuring compliance through effective communication with patients and healthcare providers. Proficient in identifying barriers to medication adherence and providing solutions while serving as a clinical resource.

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