Your Role :

The Pharmacy Resident will report to the Senior Director of Clinical Pharmacy Program. In this role you will attain one year of post-graduate training in managed care pharmacy in a health plan setting and directly contribute to the organization’s delivery of high-quality care, management of pharmacy benefits and claims, member and provider engagement strategies, and drug quality improvement programs.

Your Work

In this role, you will :

• Perform direct patient care activities and conduct provider outreach to support Medicare Star programs, as well as Commercial and Medi-Cal quality initiatives
• Review and evaluate the current literature and respond to drug information related questions. Develop therapeutic drug evaluations and medication policies to present at Pharmacy and Therapeutics (P&T) Committee meetings
• Review prior authorization requests and analyze drug information literature to make evidence-based clinical decisions
• Participate in formulary strategy and drug / drug class evaluations, make formulary coverage recommendations, and assess impact
• Understand pharmacy networks, rebates, benefits, claims, and compliance
• Perform or contribute to client presentations, requests for proposals from potential clients and other ad hoc client inquiries
• Precept APPE students, coordinate learning experiences and evaluations, and promote professional development
• Complete a customized residency project suitable for presentation and publication

Last updated : 2024-06-14