Clinical Pharmacist - Care Team

ABOUT THE ROLE:

The Clinical Pharmacist, Care Team is a member of the Rightway PBM Clinical Operations team. This role will be key in delivering on the “pharmacist in the family” approach to engaging our members. We are looking for an experienced clinical pharmacist to engage with our members in a caring and empathetic manner. Written and verbal communication skills will be critical when interacting with members on the phone, via email, and via the chat function on the Rightway app. A willingness to go the extra mile to provide outstanding customer service is an essential requirement of this role.

WHAT YOU’LL DO:

Guide members as if you are the “Pharmacist in the Family” to help members manage their medications and disease states
Engage with members via phone, chat, and email to provide a white glove/concierge experience for members
Go above and beyond to answer member questions about all things pharmacy related
Perform core Pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, and recommending changes to patient's drug regimens
Partners with Rightway’s Navigation team where needed to provide holistic support to members
Engages with providers to address medication gaps in therapy for patients, drug therapy recommendations, formulary compliance, and serve as a subject matter expert on medications
Contributes to the Pharmacy & Therapeutics committee in the research, preparation and presentation of drug monographs, therapeutic category reviews and clinical policy development. Ensures that these processes meet or exceed regulatory and best practice standards
Supports prior authorization review process as needed regarding drug product selection and formulary compliance to ensure quality of care
Perform utilization management reviews and support outreach to members and providers to drive clinical and cost-savings outcomes.
Effectively collaborate with third-parties in the administration of Rightway’s clinical pharmacy strategy
Responsible for achieving productivity and quality of work metrics for clinical pharmacy interactions
Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation
Ensures regulatory standards are consistently met

WHO YOU ARE:

Pharmacy degree required, PharmD preferred. Managed Care or other pharmacy residency preferred
3 years in direct patient care such as PBM clinical operations or Health Plan Pharmacy Department or provision of Medication Therapy Management services
Pharmacy License: Required: State of residence. Preferred: Multi-state licenses and/or be willing to attain licensure in additional states
Empathetic, detail-oriented, intellectually and clinically curious, good listener, ability to challenge status quo, values exemplar
Great clinician, effective & creative problem-solver, ability to prioritize and manage through change. Solid communication skills, ability to lead projects and influence others even without direct reporting line ownership
Occasional travel may be required