What are the responsibilities and job description for the CLINICAL REVIEW PHARMACIST position at Healix Infusion Therapy, LLC?
Job Details
Description
Healix Infusion Therapy is seeking a full-time Clinical Pharmacist to join our Corporate Clinical Review Team.
As a Corporate Clinical Review Pharmacist with Healix, you will have the opportunity to work as a key member of the Clinical Review Team to support site Pharmacists and Nurses, Physician clients, and multiple departments within the company by utilizing our drug knowledge to review medication orders for medical criteria and to facilitate prior authorization and approvals for the Business Office. This individual will report directly to the Clinical Review and Research Regulatory Affairs Manager and be a key contributor to the company’s specialized drug therapy knowledge base. This is an excellent opportunity for pharmacists who want a more clinical role in the outpatient setting.
Duties & Responsibilities:
- Reviews medication orders and medical record documentation and evaluates medical criteria in accordance with payor policies to facilitate prior authorizations and approvals.
- Communicates consistently and frequently to sites and staff regarding patient referral status, documentation needed and/or order clarifications.
- Manages the daily referral workload for clinical reviews, ensuring all tasks are completed each day.
- Be current and proficient in understanding and use of all applicable drug therapies utilized within the company.
- Creates Letter of Medical Necessity for referring physicians as needed to obtain authorizations or to overturn denials.
- Assists in review of new drug therapies and providing drug information to site staff as needed.
About Us
Healix is the nation’s leader in providing physician office-based infusion services. Focused on patient and physician peace of mind for 30 years, we offer unparalleled capabilities for optimal patient care, comfort, compliance, clinical outcomes, and research in an outpatient setting.
At Healix, we manage Office Infusion Centers on behalf of physicians, hospitals, and medical institutions, encouraging in-office treatment for optimal patient care. Our company is headquartered in Sugar Land, Texas, a suburb of Houston, where we have helped establish and manage hundreds of infusion centers nationwide. We use our clinical and business expertise to provide integrated solutions for all aspects of the infusion program, including research, all while delivering peace of mind to our clients and their patients.
Studies show that the physician office infusion center setting provides significant site of care benefits for patients, communities, payors, and pharma, including superior clinical outcomes and lower cost of care. Overall patient satisfaction at Healix-managed infusion centers soars, with 98% of patients rating their care as excellent. Our physician clients rely on Healix to handle their infusion center operations and research endeavors. As Healix continues to grow and expand in clinical research, we are dedicated to maintaining focus on patient and physician peace of mind.
Qualifications
Education and/or Experience:
- Doctor of Pharmacy (Pharm.D.)
- 2-3 years of clinical pharmacy and/or infusion experience
- Insurance prior authorization experience a plus
- Computer proficient in word processing and spreadsheet software, electronic medical record systems, and general software systems
Highly Valued Assets Include:
- Specific knowledge and clinical experience with a wide variety of medications, including biologics and infusion medications, and relevant diseases
- Strong analytical and communication skills required
- Self-motivated and able to multitask effectively
- Excellent teamwork skills required
EQUAL EMPLOYMENT OPPORTUNITY
We are an Equal Employment Opportunity employer committed to providing equal opportunity in all of our employment practices, including selection, hiring, assignment, re-assignment, promotion, transfer, compensation, training, leave of absence, discipline, and termination. The Company prohibits discrimination, harassment, and retaliation in employment based on race; color; religion; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability or handicap; citizenship status; service member status; or any other category protected by federal, state, or local law. Healix has a non-discrimination policy and complies with applicable federal, state and local laws governing nondiscrimination in employment in every location in which the Company has facilities.
