What are the responsibilities and job description for the Clinical Pharmacist - ITC position at Inland Empire Health Plan?

Overview

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Reporting to the Manager, Integrated Transitional Care Medication Management, the Integrated Transitional Care Clinical Pharmacist is responsible for the daily operation of IEHP clinical programs and activities. The Integrated Transitional Care Clinical Pharmacist provides comprehensive care to Members through IEHP Clinical Programs including Post-Discharge Medication Reconciliation and other departmental initiatives.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

Competitive salary.
CalPERS retirement.
State of the art fitness center on-site.
Medical Insurance with Dental and Vision.
Life, short-term, and long-term disability options
Career advancement opportunities and professional development.
Wellness programs that promote a healthy work-life balance.
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance

Key Responsibilities

Complete medication reviews for post-discharge medication reconciliation and other medication management programs that includes reviewing chart notes, electronic medical records, and/or relevant clinical information within turnaround times and quality standards meeting regulatory requirements as defined by Department of Health Care Services, Center for Medicare & Medicaid Services, and National Committee for Quality Assurance. Provide additional clinical oversight for activities related to the post-discharge medication reconciliation and department needs.

Review and respond to inter- and intra-departmental tasks sent via MedHoK, Meditrac, Care Director, or any other systems required and coordinate the care of the member as necessary with the other departments such as Member Services, Health Education, Behavioral Health & Care Management, Compliance, etc. Communicate clearly and effectively with Providers and/or Members on issues related to the medication reconciliation, or other respective policies and procedures. Demonstrate excellent customer service.

Perform peer review auditing and quality assurance checks to ensure clinical decision making and clinical recommendations meets the regulatory and company standards.

Participate in interdisciplinary teams (Physician, Case Manager, Nurse, Social Worker, etc.) to discuss the ongoing needs of IEHP Members, which include, but not limited to medication regimen review and consultations. Attend case management discussions and/or rounds to review medication therapies and provide medication assessments.

Provide clinical education, guidance, and support to maintain productive working relationships with Team Members, other Providers, and management team and ensure adherence to standard work.

Actively participate in internal process and quality improvement process enhancements, LEAN projects, and managing for daily improvement (MDI). Ensure all departmental goals (including, but not limited to turnaround, production expectations, and quality metrics) are met.

Participate in various department projects to meet Performance and Quality measures (including, but not limited to standards of Healthcare Effectiveness Data and Information Set, Consumer Assessment of Healthcare Providers and Systems, and National Committee of Quality Assurance). Ensure all company’s goals related to the IEHP Strategic Plan are met.

Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Qualifications

Education & Requirements

Two (2) or more years of individual or combined experience in pharmacy, hospital, or drug benefit related quality assessment, utilization management and/or provider liaison duties OR a minimum of one (1) year Managed Care residency OR Ambulatory Care residency
Doctor of Pharmacy (Pharm. D.) from an accredited institution required
Possession of an active, unrestricted, and unencumbered Registered Pharmacist license issued by the California State Board of Pharmacy

Key Qualifications

Strong clinical baseline knowledge of current medical treatment protocols and clinical practice guidelines
Working knowledge of regulatory standards and timelines for Medi-Cal, Medicare, and Covered California lines of business
Bilingual (English/IEHP Target Language) preferred
Proficiency with health plan electronic medical records systems (i.e. MHK, Meditrac)
Excellent written and verbal communication skills
Strong drug information research skills
Excellent communication and interpersonal skills
Proven ability to:
- Participate in interdisciplinary teams
- Exhibit behavior as referenced in the IEHP Handbook (i.e., attendance, dress code, electronic device policy, personal behavior)
- Be detail-oriented
- Communicate and work effectively with a variety of stakeholders and maintain positive working relationships with internal and external contacts at all levels
Schedule may adjust based on business need which may include evenings, holidays, and weekends

Start your journey towards a thriving future with IEHP and apply TODAY!

Work Model Location

Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)

Pay Range

USD $154,128.00 - USD $204,214.40 /Yr.

Salary : $154,128 - $204,214

Apply for this job

Receive alerts for other Clinical Pharmacist - ITC job openings

Clinical Pharmacist - ITC

What are the responsibilities and job description for the Clinical Pharmacist - ITC position at Inland Empire Health Plan?

Overview

Additional Benefits

Key Responsibilities

Qualifications

Work Model Location

Pay Range

What is the career path for a Clinical Pharmacist - ITC?

Job openings at Inland Empire Health Plan

Not the job you're looking for? Here are some other Clinical Pharmacist - ITC jobs in the CA area that may be a better fit.

We don't have any other Clinical Pharmacist - ITC jobs in the CA area right now.

AI Assistant is available now!