Pharmacist - Medication Therapy Management (MTM)

Job ID: J138622
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Jan 9, 2019

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Description

General Overview:

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 Job Functions:

  • 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.

Minimum Qualifications:

  • Bachelor's Degree in Pharmacy
  • Registered Pharmacist
  • 3 - 5 years in Pharmacy (required experience can be reduced from 3 - 5 to 1 - 2 years, if the candidate completed a clinical residency program)

Preferred Qualifications:

  • Doctorate in Pharmacy
  • MTM Certification

Referral Bonus: Level 1

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.

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.  

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)
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For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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