Job Information
Blue Cross and Blue Shield of Louisiana Clinical Pharmacist - Population Management in Baton Rouge, Louisiana
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
POSITION PURPOSE
This position is a medication management pharmacist that serves two primary roles: 1) telephonic engagement of members and their care team for the purpose of improving health and/or providing more cost-effective care and 2) contributes to the strategy, development, implementation, and maintenance of pharmacy population-based clinical strategies.
NATURE AND SCOPE
This role does not manage people
This role reports to this job: Manager, Pharmacy Population Health
Necessary Contacts: To do this job effectively, the incumbent has to be in contact with: all levels of BCBSLA staff including Pharmacy, Care Management, Medical Directors, and Analytics as well as vendors contracted with BCBSLA. This person also communicates with members, their pharmacies and prescribers.
QUALIFICATIONS
Education
- Doctorate of Pharmacy or Bachelor's Degree in Pharmacy required.
Work Experience
1 year of experience working in clinical pharmacy roles is required.
Managed care experience and/or MTM certification is preferred.
Other preferred experiences include: • Rounding with physicians and ancillary staff in hospital or primary care settings. • Performing comprehensive medication reviews. • Long-term care consulting experience • Specialty medication management.
Skills and Abilities
Must have proficiency in pharmacology, therapeutics, and knowledge of medication management programs for the purpose of supporting the clinical aspects of this job.
Must possess strong interpersonal, organizational, oral/written communication skills in addition to strong clinical skills.
Ability to use Word and Excel is required; Proficiency in PowerPoint is preferred.
Familiarity with Epic Healthy Planet is preferred.
Licenses and Certifications
Current pharmacy license in good standing required.
Participation in ASHP or AMCP-accredited residency program and/or master's training preferred.
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
Efficiently assesses medication therapy for unnecessary medications, need for additional medications, member understanding, ineffective medications, inappropriate doses, adverse drug events, drug interactions, cost savings opportunities, and opportunities for medication synchronization.
Delivers telephonic medication management services to eligible members to assess appropriateness of all medications, identify and resolve barriers to adherence, optimize medication therapy, address medication concerns, and improve clinical outcomes.
Supports the development, implementation, monitoring, and maintenance of pharmacy population-based clinical programs with the purpose of identifying and solving medication related problems, improving patient outcomes, and lowering cost to achieve the organization’s strategic goals.
Develops and utilizes external and internal stakeholder relationships to enhance member experience, improve clinical outcomes, and lower costs.
Accountable for complying with all laws, regulations and accreditation standards associated with duties and responsibilities.
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions
Perform other job-related duties as assigned, within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required.
#LI_MS1
An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
JOB CATEGORY: Insurance