What are the responsibilities and job description for the Clinical Pharmacy Resident Health Plan position at Priority Health?
Job Summary
The post graduate year 1 (PGY-1) pharmacy residency is a one year period of transition from student to independent practitioner. The post graduate year 2 (PGY-2) pharmacy residency is a one year period of transition from general residency trained pharmacist to clinical pharmacist with a specific area of expertise. The residency experience is designed to accelerate 3-5 years of experience into one residency year.
Managed care pharmacists are responsible for ensuring patient access to appropriate and cost-effective medication therapies. Pharmacists in this role support a variety of services including developing and implementing evidence-based clinical programs and quality-oriented drug management services, instituting practices to ensure patient safety, communicating and collaborating with patients, prescribers, pharmacists, internal and external clients, contributing to the design of pharmacy benefits, managing quality and cost-effectiveness, and involvement in the medication distribution process in the managed care setting.
Essential Functions
Required
SITE - Priority Health - 1231 E Beltline Ave NE - Grand Rapids
Department Name
Pharmacy Operations - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 am to 5 pm
Days Worked
Monday to Friday
Weekend Frequency
Every third weekend
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
The post graduate year 1 (PGY-1) pharmacy residency is a one year period of transition from student to independent practitioner. The post graduate year 2 (PGY-2) pharmacy residency is a one year period of transition from general residency trained pharmacist to clinical pharmacist with a specific area of expertise. The residency experience is designed to accelerate 3-5 years of experience into one residency year.
Managed care pharmacists are responsible for ensuring patient access to appropriate and cost-effective medication therapies. Pharmacists in this role support a variety of services including developing and implementing evidence-based clinical programs and quality-oriented drug management services, instituting practices to ensure patient safety, communicating and collaborating with patients, prescribers, pharmacists, internal and external clients, contributing to the design of pharmacy benefits, managing quality and cost-effectiveness, and involvement in the medication distribution process in the managed care setting.
Essential Functions
- Uses clinical expertise to make coverage determinations and ensure adherence to prior authorization protocols, formulary status, medical necessity and contract criteria.
- Attends all required residency meetings and functions as outlined in the Pharmacy Residency Manual.
- Completes project requirements as outlined in the Pharmacy Residency Manual.
- Complies with the staffing commitment as outlined in the Pharmacy Residency Manual.
- Engages in continuous study of the entire professional field to maintain the professional competence, knowledge, and skills necessary for satisfactory performance of all assigned responsibilities. Completes required continuous training and education, including department and Spectrum Health specific requirements on a timely basis.
- Analyzes pharmacy and medical spend data (total cost of care, drug and medical trends) and coordinates the development of appropriate use standards, prior authorization protocols, and guidelines.
- Ensures that required documentation for activities within areas of responsibility is performed in an accurate and timely manner.
- Ensures that services are provided in accordance with state and Federal regulations, organizational policy, and accreditation/compliance requirements.
Required
- Doctorate Doctor of Pharmacy degree from an accredited College of Pharmacy
- LIC-Clinical Pharmacist - STATE_MI State of Michigan 120 Days Or
- LIC-Clinical Pharmacist - STATE_OTHR State Other than Michigan 120 Days
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance, pet insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
SITE - Priority Health - 1231 E Beltline Ave NE - Grand Rapids
Department Name
Pharmacy Operations - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 am to 5 pm
Days Worked
Monday to Friday
Weekend Frequency
Every third weekend
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.