Pharmacist - MTM

Job ID: J126025
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at:

Share:

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.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Share:

Interested in working at the Highmark Health enterprise?
Take the first step by joining our Talent Network today!

Join Our Talent Network

Similar Jobs

Medical Economics Consultant-1

Pittsburgh, PA, United States
Finance

Patient Care Tech- Full Time

Jefferson Hills, PA, United States
Patient Support

Service Portfolio Manager - Project Leader

Pittsburgh, PA, United States
Other

Senior Consultant - Integrated Planning and Delivery

Pittsburgh, PA, United States
IS/IT

Enrollment Quality Coordinator

Pittsburgh, PA, United States
Claims

Associate Claims Processor

Pittsburgh, PA, United States
Claims

Associate Claims Processor

Camp Hill, PA, United States
Claims

Patient Attendant / Sitter - Forbes Hospital

Monroeville, PA, United States
Patient Support

VP, Executive Medical Director-Strategic Initiatives

Pittsburgh, PA, United States
Clinical Services

Mental Health Technician

Erie, PA, United States
Tech

Union OCR Verification Clerk

Triadelphia, WV, United States
WVA unit jobs

Medical Ecnomics Analyst

Pittsburgh, PA, United States
Finance

Surgical Technician II

Pittsburgh, PA, United States
Tech

Specialty Contracting Specialist

Pittsburgh, PA, United States
Procurement

Project Management Analyst

Pittsburgh, PA, United States
Other

PRESERVICES COORDINATOR

Pittsburgh, PA, United States
Administrative Services

Single Billing Office Representative

Pittsburgh, PA, United States
Finance

Clinical Transformation Consultant- Government (WV Territory)

Home, WV, United States
Provider Services

Associate Claims Processor

Pittsburgh, PA, United States
Claims

Surgical Physician Assistant - Esophageal & Lung Institute - West Penn

Pittsburgh, PA, United States
Direct Patient Care Providers

Manager Accounting and Reporting

Pittsburgh, PA, United States
Finance

ATHLETIC TRAINER I

Pittsburgh, PA, United States
Rehab

Emergency Room Tech

Erie, PA, United States
Emergency Services

Medical Assistant I - Primary Care - Greetree - full time

Greentree, PA, United States
Patient Support

Medical Economics Consultant

Pittsburgh, PA, United States
Finance