Aetna KS Clinical Pharmacy Advisor (53524BR) in Overland Park, Kansas
Req ID: 53524BR
This is an office based position in Overland Park, Kansas. Theclinical pharmacy advisor supports a new and innovative member centric clinicalcare program for Aetna Medicaid, the Pharmacy Medication Management Program. ThePharmacy Medication Management Program (PMMP) integrates clinical pharmacistswith the local health plan clinical care team to improve medication utilizationand member outcomes. The PMMP clinical pharmacist is responsible for leadingpharmacy based initiatives and supporting the work of clinical care teamsserving high risk Medicaid members. The PMMP clinical pharmacist will beresponsible for assisting in the development and implementation of PharmacyMedication Management Programs as well as independently administering clinicalpharmacy initiatives.Fundamental Components:
· Collaborate with plan level associates(including pharmacy director, care managers, medical directors, providerrelations, quality management, and others as necessary) to identify highpriority member and provider populations requiring clinical pharmacy interventions· Review and evaluate pharmacy and medical claimsdata and reporting with plan associates to identify members and prescribersrequiring clinical pharmacy interventions· Assist in the development of PMMP tools,resources, and outreach material as necessary· Serve as the brand ambassador for the PMMPwithin the plan to drive health plan associate utilization of the availableprograms· Educate and train plan level associates on PMMP processesand priorities · Independently complete accurate and comprehensivemedication reviews and perform the corresponding member, care manager, andprovider outreach as necessary· Serve as the medication expert for health planclinical care activities · Engage providers to encourage the appropriateprescribing of medications · Work collaboratively with health plan associatesincluding care managers, medical directors, and quality management to performmember outreach that leads to improved medication utilization BACKGROUND/EXPERIENCE desired:
Current unrestricted Kansas state license required. 3-5 years clinical pharmacy experience required (Retail pharmacy experience is not included in the required number of years of experience) Managed care experience preferred Experience in managing long-term, medication care plans is required. Understanding HEDIS and other quality programs and processes is preferred. Knowledge of clinical program components, formulary designs, and prescription benefit trends. Understanding of medical and pharmacy terminology. Local travel required The highest level of education desired for candidates in this position is a Doctor of Pharmacy.
The highest level of education desired for candidates in this position is a Doctor of Pharmacy.
LICENSES AND CERTIFICATIONS
ADDITIONAL JOB INFORMATION
Areyou ready to join a company that is changing the face of health care across thenation? Aetna Better Health of Kansas is looking for people like you who valueexcellence, integrity, caring and innovation. As an employee, you ll join ateam dedicated to improving the lives of KanCare members. Our visionincorporates community-based health care that works. We value diversity. Alignyour career goals with Aetna Better Health of Kansas, and we will support youall the way.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
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Job Function: Health Care