Clinical Access Pharmacist

Our Company Amerita Overview The access clinical pharmacist will work with the margin and access teams to provide appropriate recommendations for drug therapy and contribute to the optimal medication management of patients. They will work with the margin and access team to determine appropriate drug, make recommendations for medical billing or PBM billing, review insurance-based formulary. They will also interpret, clarify, verify, and request updated orders for medications and other pharmaceutical supplies pursuant to a medication order. Provide clinical pharmacy services to patients as well as internal stakeholders involved in the care of the patient inclusive of responding to medical information requests.

Shift: Monday-Friday 8:30am-5:30pm

Responsibilities

Evaluates physician medication orders for appropriateness of drug, margin, medical or pharmacy billing, dosage, potential interactions, and route of administration Provides support for the Infusion pharmacy dispensing and fulfillment operations across the pharmacy network Engages in business improvement and sustainability, cost reduction projects and process flow optimization Makes recommendations for therapy changes to the physician and facility staff as appropriate Continuous review of products selected for each patient to validate margin, formulary changes, and medication appropriateness based on disease state and patient co-morbidities Identifies brand to generic and biosimilar review to assist with conversion opportunities to enhance probability of therapy starts or changes with current drug administration and minimize copay costs to patients Serves as lead resource to internal stakeholders for medical/drug information inquiries Identifies problem areas with effective follow-through to quickly address the root causes and coordinate activities with cross functional team members from Operations, IT, Finance and Procurement/Corporate Inventory Maintains patient database to include appropriate current and past medical history, appropriate clinical and laboratory data, and concurrent medication (including over-the-counter and home remedies). Collaborates with the healthcare team to provide clinical and technical support as needed Documents all communication with physicians, nurses, other members of the healthcare team and patients/residents and their family members in the medical record Responds to patient-specific or non-patient-specific inquiries from internal or external stakeholders for drug/medical information related to any medication within company’s business portfolio Documentation of adverse events and products complaints per contractual obligations to pharmaceutical manufacturers Assists facility/agency staff personnel with procedures relating to safe and effective methods of procuring, maintaining, administering and disposing of drugs Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards Provides clinical expertise to help physician’s with authorization denials to include but not limited to appeal letters and peer to peers Other duties as required Supervisory Responsibility: No