Consultant Pharmacist II - REMOTE Job at UMass Chan Medical School, Westborough, MA

U254Q2VrdU5vZzU2SXBPTWVBWmQwRGsxeWc9PQ==
  • UMass Chan Medical School
  • Westborough, MA

Job Description

Consultant Pharmacist II

Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist II functions as a team member of the drug utilization review programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client member's drug therapy. This position handles live calls from physicians and pharmacists to review appropriate drug therapy and determine approval or denial of these real time prescriptions with increasing independence. The incumbent of this position will also review requests for prior authorization and determine approval or denial of these requests. The Consultant Pharmacist II serves as a resource for Consultant Pharmacist I staff.

Responsibilities

Essential Functions:

  • Participates in orientation and training of Consultant Pharmacist I staff.
  • Reviews clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance with increasing independence.
  • Decides in real time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
  • Provides pharmaceutical expertise and knowledge to advisory board's clinical workgroups.
  • Monitors over-utilization and under-utilization of prescribed medicines for members.
  • Assists in monitoring and researching profiles for compliance on a daily basis.
  • Refers suspected abuse and fraudulent members to program management or designee for case review.
  • Participates in site visits to client offices, as necessary.
  • Participates in quality improvement and quality assurance initiatives.
  • Perform other duties as required.
Qualifications

Required Qualifications:

  • Bachelor of Science degree in Pharmacy with 2 years of pharmacy-related work experience OR
  • Doctor of Pharmacy degree with 1 year of pharmacy-related work experience OR
  • Doctor of Pharmacy Degree with completion of 1 year of pharmacy residency
  • Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts
  • Ability to travel to off-site locations.

Job Tags

Work experience placement, Remote work,

Similar Jobs

LaborMax Staffing

Warehouse Associate Job at LaborMax Staffing

 ...problem at times as not all positions require palletizing. This is a temp to hire opportunity. Dress code is jeans, t-shirt, work boots, safety glasses, and gloves. LaborMax Staffing is an equal opportunity employer. Requirements ~ No experience needed.... 

SynergisticIT

Java/Full-Stack Developer - Junior (Remote) Job at SynergisticIT

 ...off Jobseekers who are competing with existing Jobseekers. For entry level Job seekers to get client interviews and jobs they need to...  ...looking for entry-level software programmers, Java Full stack developers, Python/Java developers, Data analysts/ Data Scientists, Machine... 

Forum Communications

Reporter Job at Forum Communications

 ...and business solutions for more than a century. We've always been in the business of telling stories, but we're more than just a newspaper today. As one of the Upper Midwest's largest media organizations, we are leaders in the business of print and digital news, technology... 

Owens & Minor

QSight Supply Chain Analyst Job at Owens & Minor

 ...Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 35...  ...and control leading to reduced supply expense and increased operational efficiency...  ...of a discipline such as hospital supply chain, distribution, material management, inventory... 

Advanced People Care

Live-In Caregiver Job at Advanced People Care

 ...A caring, patient live-in caregiver is needed to support an elderly couple in a peaceful private home in Lawrenceville, GA. The role follows a 2-week-on/2-weeks-off rotation, providing full-time care during active weeks and a private, comfortable room while on duty....