Senior Pharmacist of Care Management

Job ID: J141502
Company: Gateway Health Plan
Location: York, PA, United States
Facility: Work From Home
Full/Part Time: Full time
Job Type: Regular
Posted at: Mar 8, 2019

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Description

General Overview:

This job will works in a team oriented environment.  The incumbent works with Gateway Health members on a daily basis to improve engagement and subsequent outcomes as an adjunct to health coaching; will develop and implement physician, pharmacy and member educational initiatives that promote Gateway’s formularies, utilization management programs, and case/disease management initiatives; and will participate in cross-functional committees to develop and implement clinical and operational initiatives.  The incumbent may also provide consultation into the case and disease management identification process and consult with Gateway medical directors when appropriate.   

Note: this particular opportunity will be predominantly Office-based.  The specific office location is set for:

116 S. George Street
York, PA 17401

Essential Job Functions:

  • Work one-on-one with Gateway members via face-to-face and/or telephonic interactions.  Develop care plans for individual members, coordinate member’s care and assist in the discharge planning process.
  • Represent the organization to members, providers, and other staff at participating practices.
  • Assist in the development and implementation of various programs, including, but not limited to utilization management, disease management and chronic condition management.
  • Address gaps in care, medication adherence and perform medication reconciliation.
  • Collaborate with Gateway Health and providers to promote appropriate and cost effective use of medications through adherence to formulary and utilization management requirements.
  • Support Gateway Health initiatives to reduce emergency department utilization as appropriate.
  • Collaborate with providers and other staff to develop and implement physician, pharmacy, and member educational initiatives that promote Gateway’s formularies, utilization management programs, and case/disease management initiatives.
  • Participate in cross-functional committees to develop and implement clinical and operational initiatives within the pharmacy department.
  • Identify and assist in managing department process improvements to maximize overall efficiencies. 
  • Other duties as assigned or requested.

Minimum Qualifications:

  • Bachelor of Science in Pharmacy or a Doctor of Pharmacy degree
  • 5 - 7 years of post-graduate pharmacy experience
  • Registered Pharmacist

Preferred Qualifications:

  • 1 - 3 years of related, progressive clinical experience in ambulatory care (as part of three year post-graduate pharmacy experience)
  • Experience with Medicaid populations
  • Post Graduate Year 1 (PGY1) residency with concentration in ambulatory care
  • Board Certified Pharmacotherapy Specialists (BCPS)
  • Board Certified Ambulatory Care Pharmacist (BCACP)
  • Advanced managed care training and experience

  • Experience with Medicaid populations

  • Advanced Training and Experience in MTM (Medication Therapy Management)

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 will works in a team oriented environment.  The incumbent works with Gateway Health members on a daily basis to improve engagement and subsequent outcomes as an adjunct to health coaching; will develop and implement physician, pharmacy and member educational initiatives that promote Gateway’s formularies, utilization management programs, and case/disease management initiatives; and will participate in cross-functional committees to develop and implement clinical and operational initiatives.  The incumbent may also provide consultation into the case and disease management identification process and consult with Gateway medical directors when appropriate.    This particular opportunity will be predominantly Office-based. The specific office location is set as: 116 S. George Street York, PA 17401

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.
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