[Hiring] Pharmacist, Clinical/Medication Therapy Management @Molina Healthcare

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves supporting our Medication Therapy Management (MTM) and clinical pharmacy services activities, contributing to the overarching pharmacy strategy for optimization of medication-related health care outcomes and quality cost-effective member care. • Facilitates Medication Therapy Management (MTM) support including examination of member medical records, comprehensive medication reviews, and communication with members and providers. • Reviews member medication profiles and applies evidence-based medicine and national guidelines when creating recommendations for health care providers. • Analyzes and reviews medication lists for potential patient safety issues, including drug interactions and suboptimal medication regimens. • Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines. • Articulates pharmacy management policies and procedures to pharmacy/health plan providers and Molina staff. • Performs prior authorization reviews of high-cost medications and deferred authorization requests. • Researches, develops, and implements drug utilization and disease state management strategies. • Assists in coordination of care for pharmacy-related issues between members, providers, and the interdisciplinary care team (ICT). • Follows up with members and providers to check on progress toward meeting drug treatment goals. • Serves as a drug information resource to pharmacy staff, medical affairs staff, and providers. • Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track trends in drug utilization. • Works with healthcare services team on member-centered interdisciplinary teams. • May prepare drug monographs and utilization reports for the Pharmacy and Therapeutics (P&T) committee. • Assists leadership in developing/updating policies and procedures to comply with regulations. Qualifications • At least 3 years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting. • Doctor of Pharmacy (PharmD). License must be active and unrestricted in applicable state(s) of practice. • Demonstrated knowledge and expertise in clinical pharmacology and disease management. • Clinical skills related to Medication Therapy Management (MTM). • Demonstrated knowledge of best practices in Medication Therapy Management Program (MTMP) related disease states. • Ability to present ideas and information concisely to varied audiences. • Knowledge of processes and systems, and ability to develop and deliver necessary training. • Ability to develop and maintain positive and effective work relationships. • Proficiency in compiling data, creating reports, and presenting information. • Ability to meet established deadlines. • Functions independently and manages multiple projects. • Excellent verbal and written communication skills. • Proficiency in Microsoft Office suite (including Excel) and applicable software programs. Requirements • Bilingual Spanish is a plus but not required. • MTM experience within an MCO preferred. • Retail experience. • Strong organization, initiative, and problem-solving skills. • Ability to manage and prioritize a high-volume workload. Preferred Qualifications • Board Certified Ambulatory Care Pharmacist (BCACP). • American Pharmacist's Association Medication Therapy Management (MTM) certificate. • Medicaid and/or Medicare experience. • Clinical skills or pharmacotherapy expertise for Medication Therapy Management Programs (MTMP) related conditions and medications. • Experience with team-based care. Benefits Molina Healthcare offers a competitive benefits and compensation package. Apply tot his job Apply To this Job