Clinical Access Pharmacist

Amerita

The access clinical pharmacist will work with the margin and access teams to provide appropriate recommendations for drug therapy and contribute to the optimal medication management of patients. They will work with the margin and access team to determine appropriate drug make recommendations for medical billing or PBM billing review insurance-based formulary. They will also interpret clarify verify and request updated orders for medications and other pharmaceutical supplies pursuant to a medication order. Provide clinical pharmacy services to patients as well as internal stakeholders involved in the care of the patient inclusive of responding to medical information requests.

Shift: Hybrid Monday-Friday 8:30am-5:30pm

• Evaluates physician medication orders for appropriateness of drug margin medical or pharmacy billing dosage potential interactions and route of administration
• Provides support for the Infusion pharmacy dispensing and fulfillment operations across the pharmacy network
• Engages in business improvement and sustainability cost reduction projects and process flow optimization
• Makes recommendations for therapy changes to the physician and facility staff as appropriate
• Continuous review of products selected for each patient to validate margin formulary changes and medication appropriateness based on disease state and patient co-morbidities
• Identifies brand to generic and biosimilar review to assist with conversion opportunities to enhance probability of therapy starts or changes with current drug administration and minimize copay costs to patients
• Serves as lead resource to internal stakeholders for medical/drug information inquiries
• Identifies problem areas with effective follow-through to quickly address the root causes and coordinate activities with cross functional team members from Operations IT Finance and Procurement/Corporate Inventory
• Maintains patient database to include appropriate current and past medical history appropriate clinical and laboratory data and concurrent medication (including over-the-counter and home remedies).
• Collaborates with the healthcare team to provide clinical and technical support as needed
• Documents all communication with physicians nurses other members of the healthcare team and patients/residents and their family members in the medical record
• Responds to patient-specific or non-patient-specific inquiries from internal or external stakeholders for drug/medical information related to any medication within companys business portfolio
• Documentation of adverse events and products complaints per contractual obligations to pharmaceutical manufacturers
• Assists facility/agency staff personnel with procedures relating to safe and effective methods of procuring maintaining administering and disposing of drugs
• Conducts job responsibilities in accordance with the standards set out in the Companys Code of Business Conduct and Ethics its policies and procedures the Corporate Compliance Agreement applicable federal and state laws and applicable professional standards
• Provides clinical expertise to help physicians with authorization denials to include but not limited to appeal letters and peer to peers
• Other duties as required
• Supervisory Responsibility: No

EDUCATION/EXPERIENCE
Bachelors Degree in Pharmacy or PharmD Required: One or more years of specialty or infusion pharmacy practice experience required

LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS
Current pharmacist licensure in at least one state or US territory required
Credentialing from Board of Pharmacy Specialties (BPS) such as or Board Certified Pharmacotherapy Specialist (BCPS) credentialing from National Association of Specialty Pharmacies as Certified Specialty Pharmacist (CSP) desired

KNOWLEDGE/SKILLS/ABILITIES
Knowledge of pharmacy laws and federal and state regulations concerning pharmaceutical care practices for infusion patients in home and at an infusion facility. Ability to work cooperatively as a member of a team required
Strong problem-solving skills required
Ability to navigate the current pharmacy computer software to find patient clinical details and insurance details.

**To perform this role will require constant sitting and typing on a keyboard with fingers and occasional standing and walking. The physical requirements will be the abilty to push/pull and lift/carry 10-30 lbs**