Ambulatory Clinical Pharmacist

Summary

Join Shields Health Solutions as a Clinical Pharmacist and provide on-site integrated support to patients and physicians. You will play a crucial role in delivering high-quality patient care through medication administration, monitoring drug therapies, and providing adherence support. This position requires a PharmD, a Montana pharmacist license, and 1+ years of clinical pharmacist experience, including completion of a PGY1 residency. A PGY2 residency specializing in oncology is preferred. You will collaborate with a team, manage prior authorizations, develop clinical criteria, and ensure regulatory compliance. Shields offers a supportive and inclusive work environment, recognized as a Great Place to Work.

Requirements

• Hold a Doctor of Pharmacy (PharmD)
• Be a licensed Pharmacist in the state of Montana
• Have 1+ years' experience as a clinical pharmacist
• Have completed a PGY1 residency
• Ability to analyze information, exercise good judgment, possess strong verbal communication skills, have deep knowledge of pharmacology developments and FDA health regulations
• Ability to manage processes, exhibit strong technical and clinical skills, maintain constant focus on legal compliance, while being highly productive with a focus on quality and details
• Be computer proficient (knowledge of the "Rx30" software system a plus)
• Possess strong clinical knowledge of pharmaceuticals and disease states in order to conduct prior authorization reviews
• Possess knowledge of specialty pharmaceuticals and billing practices in the medical and pharmacy benefits

Responsibilities

• Advance quality pharmacotherapy care by actively assuring the provision of safe, efficacious and cost-effective drug therapy for all Oncology patients
• Work in an outpatient oncology practice and collaborate with all team members utilizing a collaborative practice-based care team model
• Provide face-to-face and one-on-one phone-based disease management with patients
• Review prior authorization requests for medications requested under the pharmacy benefit
• Utilize integrated and routine communication with all health care professionals and the patients concerning medical care and quality of life with the emphasis placed on the monitoring and documentation of specific pharmacotherapy outcomes
• Consult with the patient to identify, resolve and prevent medication related problems
• Assess each of the patient's medications for indication, effectiveness, safety and adherence issues
• Perform medication therapy management, including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy as indicated, documenting interventions
• Review patients' clinical chart information and determine the appropriateness of requested treatment
• Monitor and review prior authorization requests for medications
• Develop clinical criteria and medical policies for the review of medications
• Ensure all clinical criteria is in regulatory compliance with Center of Medicare and Medicaid Services (CMS)
• Ensure all clinical criteria is in clinical compliance with guidance from the Food and Drug Administration (FDA), clinical guidelines, and appropriate evidence-based literature
• Manage, organize, and update relevant data using database applications
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards
• Identify trends, resolves problems; recommend improvements; implements change
• Actively participate in process improvement initiatives
• Protect organization's value by keeping information confidential
• Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
• Be willing to do whatever is necessary for the betterment of the Company
• Perform other duties as assigned

Preferred Qualifications

• Completion of PGY2 residency specializing in oncology
• Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator
• Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data