Senior Clinical Pharmacy Specialist

Job Description

UPMC Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a work-from-home position but may require coming into the office, which is located in downtown Pittsburgh, various times throughout the year. Working hours are Monday through Friday 8 : 30 a.m. to 5 : 00 p.m.

Registration as a registered pharmacist (RPh), in the Commonwealth of Pennsylvania or eligibility for licensure by examination or reciprocity is required.

This job provides clinical pharmacy expertise to develop, implement, and manage the pharmacy benefit. The Senior Clinical Pharmacist assists in managing pharmacy utilization and provides expertise in managing member care. These services will be provided in compliance with state and federal regulations, NCQA standards, the mission, policies, and procedures of the Health Plan and Pharmacy Department. The individual should demonstrate professionalism and commitment to meeting UPMCHP goals and objectives.

Responsibilities : n \n

• The Senior Clinical Pharmacist must demonstrate multiple years of being a consistent, high-performing team member as measured by both volume and quality of work performed. In addition to consistent, exceptional performance, the Senior Pharmacist must have already demonstrated their initiative and ability to work independently. This role will have completed several stretch projects as outlined by their manager. The stretch projects, in addition to all new projects, would then be the ongoing responsibility of the Senior Pharmacist to manage. This may include but is not limited to, training other staff, actively participating and contributing solutions in strategic discussions, assisting with internal and external audits, and creating and assisting with workflow improvement and efficiency initiatives. Additionally, the Senior Clinical Pharmacist will assist in finding new clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization, and other clinical programs. This role is responsible for the successful and satisfactory completion of additional projects that are beyond their day-to-day tasks.
• The Product Development Pharmacist is responsible for : Assisting with clinical management of the designated line of business (Commercial, Exchange, Medicare, Medicaid, Exchange, and / or CHIP) from a pharmacy formulary and operational perspective and for understanding and complying with rules and regulations affecting the business. Develop and revise various formularies for each line of business including sending communications, training of identified departments, updating all brochures, updating appropriate websites, and submitting change forms. Review new drugs promptly and submit change forms as appropriate. Research adequately and be properly prepared for all P&T Committee meetings, ensuring all recommendations for both new drugs and new policies are appropriate and have been discussed with subject matter experts. Present these assignments succinctly and at a suitable pace and answer relevant questions.
• Provide innovative ideas for new and existing clinical program development, utilization management, formulary management, provider education, and therapeutic substitution programs. Work with employer clients, account management, and sales in meetings as assigned to improve the understanding of the pharmacy benefit, as well as offering recommendations.

Additional responsibilities for the Sr Pharmacist include :

Special Skills / Ability to Interact : Have the ability to function independently, but support team concept. Behavior denotes reliability as demonstrated by prompt attendance and timeliness in completing designated workload and follow-up. Conveys and maintains professional image while interacting with coworkers, providers, and clients. Honor client and patient confidentiality.

Licensure, Certifications, and Clearances :

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UPMC is an Equal Opportunity Employer / Disability / Veteran