Pharmacist (100% Remote)

Job Description

The clinical pharmacist will participate in a wide range of provider, patient, and employer initiatives and programs. This role supports various lines of business including Medicare, Commercial, Exchange (Marketplace), and Medicaid. The primary focus will be on ensuring quality, appropriateness, safety, and cost-effectiveness of services for these member populations. Additionally, the MTM Pharmacist will conduct telephonic consultations to provide education, coaching, and identify opportunities to improve patient care.

Responsibilities

• Participate in provider, patient, and employer initiatives and programs.
• Support Medicare, Commercial, Exchange (Marketplace), and Medicaid lines of business.
• Manage quality, appropriateness, safety, and cost for member populations.
• Review targeted patients' prescription and medical claims history.
• Conduct telephonic consultations with members to provide education and coaching.
• Identify potential opportunities to improve patient care.
• Interact with prescribers to facilitate appropriate changes to medication regimens.
• Conduct prior authorization reviews for self-administered weight loss and diabetes drugs.

Essential Skills

• Pharmacy Degree and NY State Licensure.
• Internship experience in an organized health care setting or practice environment with direct physician interaction.
• Strong customer service orientation.
• Fundamental knowledge of drug information process/references.
• Ability to conduct research.
• Strong clinical pharmacy experience.
• Proficiency in Microsoft Word and Excel.
• Excellent verbal and written communication skills.
• Ability to conduct a thorough drug regimen review.
• Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary.

Additional Skills & Qualifications

• Basic knowledge of CMS minimum standards for MTM services is desired.
• Open to years of experience.
• Can be PharmD or Bachelor of Science.
• Managed care experience is a plus but not required.
• Retail pharmacy experience is welcome.
• Quick learner who can adapt to new systems quickly.

Work Environment

Work hours are from 8:30 AM to 5:00 PM, Monday to Friday, with no weekends required. This is a 100% remote position, though occasional travel may be necessary. The role involves significant time spent at a computer and using the telephone. The environment is fast-paced, requiring the ability to manage multiple projects simultaneously while maintaining attention to detail and accuracy. There is frequent interaction with external customers and high-profile contact with outside vendors, providers, and customers at the highest levels. Ability to travel frequently across New York State and neighboring areas is required, with occasional travel out of the area.

Pay and Benefits

The pay range for this position is $45.00 - $50.00

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position will be accepting applications until Jan 31, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Salary : $45 - $50