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- Tasks: Join a dynamic team managing drug therapy and prior authorisation processes remotely.
- Company: ForHealth Consulting at UMass Chan Medical School is dedicated to improving healthcare through innovative pharmacy services.
- Benefits: Enjoy remote work flexibility, competitive salary, and opportunities for professional growth.
- Why this job: Make a real impact in patient care while collaborating with healthcare professionals in a supportive environment.
- Qualifications: Bachelor's or Doctor of Pharmacy degree with relevant experience and licensure in Massachusetts required.
- Other info: Bilingual candidates are preferred; this role offers a chance to lead and mentor others.
The predicted salary is between 48000 - 84000 £ per year.
Join to apply for the Consultant Pharmacist IV Remote role at ForHealth Consulting at UMass Chan Medical School
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Join to apply for the Consultant Pharmacist IV Remote role at ForHealth Consulting at UMass Chan Medical School
General Summary Of Position
Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist IV functions as a team member of the drug utilization review and medication management therapy programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client members drug therapy. This position will participate in prospective and retrospective DUR activities including, but not limited to: handling live calls from physicians and pharmacists, reviewing appropriate drug therapy, coordinating and managing the request for prior authorization process, and participating in the development of clinical drug use criteria. This position will also be responsible for the orientation, training and indirect supervision of the Consultant Pharmacists and Pharmacy Associates.
General Summary Of Position
Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist IV functions as a team member of the drug utilization review and medication management therapy programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client members drug therapy. This position will participate in prospective and retrospective DUR activities including, but not limited to: handling live calls from physicians and pharmacists, reviewing appropriate drug therapy, coordinating and managing the request for prior authorization process, and participating in the development of clinical drug use criteria. This position will also be responsible for the orientation, training and indirect supervision of the Consultant Pharmacists and Pharmacy Associates.
Major Responsibilities
- Provides orientation, training, guidance and direction, to Consultant Pharmacists and Pharmacy Associates
- Coordinates the request for prior authorization (RPA) process including the data entry and the generation of reports that stem from this process, as well as ensure compliance with the federal twenty-four hour time limit.
- Participates in program planning and development.
- Participates in the development of clinical drug use criteria for the prospective and retrospective review components of the DUR Program.
- Researches members case and may represent the client during appeal processes regarding prescription medications.
- Performs medication therapy management comprehensive and targeted medication reviews of medical and medication profiles
- Reviews members medical and medication profiles and interacts with health care providers and client members to review appropriate drug therapy.
- Provide real-time drug therapy recommendations to prescribers
- Reviews clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance.
- Decides in real time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
- Provides pharmaceutical expertise and knowledge to the advisory boards clinical workgroups.
- Monitors over-utilization and under-utilization of prescribed medicines for members.
- Assists in monitoring and researching profiles for compliance on a daily basis.
- Refers suspected abuse and fraudulent members to the program manager or designee for case review.
- Participates in site visits to Provider offices, as necessary.
- Participates in agency meetings as requested.
- Leads and participates in quality improvement and quality assurance initiatives
- May perform other job related duties as assigned or requested.
Required Qualifications
- Bachelor of Science degree in Pharmacy with 3 years of work experience OR
- Doctor of Pharmacy degree with 2 years of pharmacy-related work experience or completion of 2 years of pharmacy residency OR
- Doctor of Pharmacy degree with completion of 1 year of pharmacy residency and 1 year of pharmacy-related work experience OR
- Doctor of Pharmacy degree with completion of managed care residency program
- Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts
- Ability to travel to off-site locations
Preferred Qualifications
- Previous medical and medication review experience
- Bilingual fluency in reading, writing and speaking English and one other major language
The University of Massachusetts Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.
Seniority level
-
Seniority level
Not Applicable
Employment type
-
Employment type
Full-time
Job function
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Job function
Health Care Provider
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Industries
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Consultant Pharmacist IV Remote employer: ForHealth Consulting at UMass Chan Medical School
Contact Detail:
ForHealth Consulting at UMass Chan Medical School Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Consultant Pharmacist IV Remote
✨Tip Number 1
Familiarise yourself with the specific drug utilisation review and medication management therapy programs. Understanding these concepts will help you engage in meaningful conversations during interviews and demonstrate your expertise.
✨Tip Number 2
Network with current or former employees of ForHealth Consulting or UMass Chan Medical School. They can provide valuable insights into the company culture and expectations, which can be beneficial when preparing for interviews.
✨Tip Number 3
Stay updated on the latest trends and regulations in pharmacy practice, especially those related to prior authorisation processes. This knowledge will not only enhance your confidence but also show your commitment to the field.
✨Tip Number 4
Prepare to discuss your experience with training and supervising others, as this role involves guiding Consultant Pharmacists and Pharmacy Associates. Highlight any relevant experiences that showcase your leadership skills.
We think you need these skills to ace Consultant Pharmacist IV Remote
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in clinical pharmacy, medication management, and drug utilization review. Use keywords from the job description to demonstrate your fit for the Consultant Pharmacist IV role.
Craft a Compelling Cover Letter: Write a cover letter that showcases your passion for pharmacy and your understanding of the responsibilities outlined in the job description. Mention specific experiences that relate to prior authorization processes and team leadership.
Highlight Relevant Qualifications: Clearly state your educational background and any relevant certifications or licenses. If you have experience with medication therapy management or bilingual skills, make sure to emphasise these as they are preferred qualifications.
Proofread Your Application: Before submitting, carefully proofread your application materials for any spelling or grammatical errors. A polished application reflects your attention to detail, which is crucial in the pharmacy field.
How to prepare for a job interview at ForHealth Consulting at UMass Chan Medical School
✨Know Your Clinical Pharmacy Services
Familiarise yourself with the specific responsibilities of Clinical Pharmacy Services (CPS) and how they relate to drug utilisation review and medication management. Be prepared to discuss your understanding of prior authorisation processes and how you can contribute to these programmes.
✨Demonstrate Communication Skills
As a Consultant Pharmacist IV, you'll be handling live calls from physicians and pharmacists. Practice articulating your thoughts clearly and confidently, especially when discussing complex medication therapies or making real-time recommendations.
✨Showcase Leadership Experience
This role involves training and guiding other pharmacists and associates. Be ready to share examples of your leadership experience, particularly in mentoring or supervising others in a pharmacy setting.
✨Prepare for Case Studies
You may be asked to analyse case studies during the interview. Brush up on your medication therapy management skills and be prepared to discuss how you would approach reviewing medical and medication profiles to ensure compliance and appropriateness of drug therapy.
