Highmark Health Pharmacist - MTM in Pittsburgh, Pennsylvania

Description

JOB SUMMARY

This job works with Medicare Advantage customers who meet certain eligibility criteria to optimize their medication therapy. For those who meet eligibility criteria, the incumbent performs a comprehensive medication review (CMR). This involves talking with patients to review their entire list of medications on file, updating records to ensure current data, discussing any issues or problems related to those medications, and making recommendations based on clinical expertise. At times, the incumbent may contact physicians to discuss gaps in care discovered during the CMR, i.e. adherance issues, duplications in therapy, etc. and make recommendations.Sends a written report to the primary physician for their records, for all CMRs.

ESSENTIAL RESPONSIBILITIES

  • Complete CMR (comprehensive medication review) for eligible Medicare Advantage members.This involves contacting patients telephonically to review current list of medications on record, ensure record is up to date, discuss problems/issues with medications, and make recommendations based on clinical expertise.

  • Contact physicians via phone to discuss gaps in care identified through CMR (comprehensive medication review) such as adherance issues, duplication in therapy, etc.Use clinical judgement to provide recommendations to physicians.

  • Create written reports summarizing the CMR (comprehensive medication review) to send to physicians.

  • Other duties as assigned.

EDUCATION

Required

  • Bachelor's Degree in Pharmacy

  • Doctorate in Pharmacy (PharmD)

Substitutions

  • None

Preferred

  • None

EXPERIENCE

Required

Required experience can be reduced from 3-5 to 1-2 years if the candidate completed a clinical residency program

  • 3 - 5 years in Pharmacy

Preferred

  • None

LICENSES AND CERTIFICATIONS

Required

  • Registered Pharmacist

Preferred

  • MTM Certification

SKILLS

  • Oral & Written Communication Skills

  • Telephone Skills

  • Problem Solving & Decision Making

  • Compliance

  • Collaborative Problem Solving

Language (Other than English)

None

Travel Required

0% - 25%

PHYSICAL. MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Occasionally

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

REQNUMBER: J126025

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled