Here's one in Ontario, CA. And below that is one in Missouri. I know that you are only interested in So Cal jobs, but there might be a pharmacist out there interested in the Missouri position. Just do a Google search for pharmacist jobs interdisciplinary team.
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Clinical Pharmacist - NAMM - Ontario, CA - 616648
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Position Description
North American Medical Management, California, Inc. (NAMM California) partnered with
Optum in 2012. NAMM California and Optum share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.
The
NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.
As a part of our continued growth, we are searching for a new
Clinical Pharmacist to join our team.
In this role, you will be responsible for the implementation of specialized NAMM CA pharmacy programs such as Medication Reconciliation, Chemotherapy and Injectable review, and Polypharmacy.
This position works collaboratively with the NAMM CA Chief Medical Officer, Medical Director, Inpatient and Outpatient Management Team, Case Management, Information System staff and physician providers.
Primary Responsibilities:
- Performs post-discharge medication reconciliation
- Reviews and determines authorization for all injectable requests including but not limited to chemotherapy and biologics
- Reviews pharmacy contracts and assists with negotiations
- Prepares and analyzes pharmacy utilization reports
- Provides pharmaceutical education and intervention to PMNI/NAMM CA PCPs and Specialists providers such as generic alternatives
- Develops and implement pharmacy Quality Improvement activities.
- Handles drug utilization review calls from physicians
- Researches medical literatures and/or clinical guidelines
- Addresses escalated issues with Medical Director or Health plan pharmacists
- Polypharmacy management
- Participates in interdisciplinary teams
Requirements
To be considered for this position, applicants need to meet the qualifications listed in this posting.
Required Qualifications:
- Current and unrestricted pharmacist licensure (include state specific if required)
- 3+ years of experience working as a clinical pharmacist
- Ability to navigate MS Office and a Windows based environment and the ability to create, edit, save, and send documents utilizing Microsoft Word
- Ability to navigate Outlook and conduct Internet searches
- Experience conducting research and analysis
Preferred Qualifications:
- PBM experience
- Pharm D
- Pharmacy residency experience
Here is the one in Missouri
Clinical Pharmacist
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Company: Essence
Location Maryland Heights, MO
Date Posted: September 9, 2015
Source: Essence
Join Our Growing Team!
Essence Healthcare serves the people who consume care, the professionals who provide care and the organizations that manage care. Our unique health insurance business provides consumers comprehensive and affordable coverage focused on wellness and personal service. By innovating at the leading edge of reimbursement, collaboration and clinical informatics, Essence Healthcare is leading the positive evolution of health care.
Essence Healthcare™ offers people with Medicare comprehensive and affordable health insurance that focuses on wellness, care coordination and personal service. Essence’s Medicare Advantage HMOs bundle hospital, medical and prescription drug coverage together into one plan with one affordable monthly premium, and include additional benefits not covered under the Original Medicare program.
The Clinical Pharmacist will provide medication therapy management (MTM) services for a Medicare Advantage population including one-on-one phone based consultations with members. Additional responsibilities include interfacing with the PBM, developing and analyzing pharmacy utilization reports, supporting the Pharmacy and Therapeutics Committee, and participating as a member of a care management interdisciplinary team.
The Clinical Pharmacist will provide medication therapy management (MTM) services for a Medicare Advantage population including one-on-one phone based consultations with members. Additional responsibilities include interfacing with the PBM, developing and analyzing pharmacy utilization reports, supporting the Pharmacy and Therapeutics Committee, and participating as a member of a care management interdisciplinary team.
- Perform medication review of members meeting Medicare Part D MTM eligibility criteria, develops pharmacotherapy plan of care and communicates plan to members and providers, as applicable.
- Provide one-on-one phone based MTM consultations with members at member request.
- Engage with members, care-givers, and providers to optimize drug treatment plans.
- Document MTM interventions and assist with reporting MTM data elements as required by CMS.
- Interface with the PBM on the coverage determination process reviewing pharmacy appeals/grievances, claims, and formulary maintenance.
- Assist in the development and support of quality and utilization improvement programs aimed at improving adherence as well as safe and effective medication use.
- Assist in the development and analysis of pharmacy utilization reports at a physician group level and physician-specific level. Make recommendations on ways to optimize pharmacotherapy utilization.
- Develop written policies and procedures for the delivery of clinical pharmacy services.
- Participate in care management as a member of an interdisciplinary team.
- Maintain HIPAA standards and ensure confidentiality of protected health information.
- Ensure compliance with all state and federal regulations and guidelines in day-to-day activities.
- Perform special projects as assigned.
- BS in Pharmacy, Pharm.D.preferred, with active pharmacist’s license in good standing
- Minimum of one year clinical experience preferably in managed care or ambulatory care or successful completion of one or two years post-doctoral residency/fellowship
- Medicare experience preferred
Knowledge, skills, and ability required:
- Strong verbal and written communication skills
- Ability to effectively and efficiently discuss clinical information regarding medications from all sources (prescription, over-the-counter, herbal, etc.) in patient-friendly language.
- Strong decision making skills
- Ability to analyze and interpret data
- Strong customer service skills
- Strong computer skills including Microsoft Office
- Ability to multi-task and self-motivate
Benefits:
In addition to competitive salaries, challenging work assignments, and developmental opportunities, Essence Healthcare offers employees a comprehensive benefits package to include medical, dental, vision, life insurance, short-term and long-term disability, paid time off (PTO), matching 401K, and tuition assistance.
For more information on Essence Healthcare careers, please check out our web site: www.eghc.com/careers
Essence Healthcare is an EEO/AA employer M/F/V/D.
I just say it like this because I hear the same from all faculty, it is very well rehearsed and you have to wonder why, it is because they HAVE to say this. No one wants you in the admin position if you say other wise. Now if he TRULY believes this, then we have a whole different problem on our hands. 
