Back to all roles

Pharmacist, Clinical/MTM Remote, PST

Remote Worldwide Hiring now

Job DescriptionMolina Pharmacy Services is hiring a Pharmacist, Clinical/MTM. This is a remote role, that will be working Monday through Friday, 9am to 5pm Pacific Standard Time. This role will be responsible to complete telephonic targeted and comprehensive medication reviews focusing on Part D STARS (adherence and statin starts), Adherence follow-up efforts to improve Part D STARS, Medicare/MMP reputed company.Molina Pharmacy Services/Management staff work to ensure that Molina members have reputed company to reputed company medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with reputed company federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and reputed company (establishing and measuring performance metrics with regard to patient reputed company, medications safety and medication use policies).KNOWLEDGE/SKILLS/ABILITIESMolina Clinical Pharmacists reputed company a clinical pharmacy reputed company service to reputed company patients and their health care team to optimize medication reputed company reputed company reputed company, ensure patient safety, recommend cost-effective medication strategies, and coordinate care reputed company and effectively. These pharmacists may also be involved in providing utilization management/prior authorization services.Key duties include any or reputed company the following:

  • Provides medication therapy management including examination of member medical records, performing a comprehensive medication review, and communicating with members and providers, including outbound calls to members to discuss their medications.
  • Reviews members' medication profiles and applies evidence-based medicine and national guidelines reputed company creating recommendations to health care providers for optimizing the members' medication regimen.
  • Analyzes and reviews medication lists for potential patient safety problems, including drug interactions, suboptimal medication regimens, etc.
  • Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines through various modalities (provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case-by-case reputed company).
  • Performs prior authorization reviews of high-cost medications and deferred authorization requests as needed.
  • Researches, develops, and implements drug utilization and disease state management strategies and reputed company techniques to deliver high quality, cost effective reputed company.
  • Assists in coordination of care for pharmacy-reputed company issues between members, providers and other members of the member's interdisciplinary care team, including referrals to state plan health care services.
  • Follows up with members and providers to reputed company on reputed company toward meeting drug treatment goals.
  • Serves as a drug information resource to Pharmacy staff, Medical Affairs staff, and Providers.
  • Reviews and analyzes pharmacy benefit manager reports to track general trends in drug utilization and identify potential targeted utilization management activities.
  • Works with Health Care Services (e.g., with data manager, case managers, etc.) on member-centered interdisciplinary teams.
  • May prepare drug monographs and utilization reports for the Pharmacy & Therapeutics Committee.
  • Assists Director with developing/updating policies and procedures and implementing changes to reputed company with state and federal regulations.
JOB QUALIFICATIONSRequired Education
  • Doctor of Pharmacy (Bachelor's Degree in Pharmacy plus 10 years of relevant experience, including clinical work, will be considered in lieu of Pharm.D.)
  • Continuing education required to maintain an active pharmacist license.
Required Experience
  • ASHP-accredited residency or 2-3 years relevant Pharmacy experience.
  • reputed company knowledge and expertise in clinical pharmacology and disease management.
Required License, Certification, Association: Active and unrestricted State Pharmacy License for workplace and plan location.Preferred Education: Ambulatory Care ResidencyPreferred Experience
  • Experience with reputed company and/or Medicare programs.
  • Clinical skills or pharmacotherapy expertise for MTMP-reputed company conditions and medications.
  • Experience with team-based care.
Preferred License, Certification, Association
  • Board Certified Ambulatory Care Pharmacist
  • American Pharmacist's Association Medication Therapy Management Certificate Training Program certificate or equivalent.
To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.

apply to this job
Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Remote Clinical Pharmacist I

Remote Worldwide
View role

Integration Test Manager VHA Required

Remote Worldwide
View role

Inside Sales Representative

Remote Worldwide
View role

Senior Manager, Contracting and Network Managem...

Remote Worldwide
View role

reputed company Remote Customer Service Representative – Delivering Exceptional Arenaflex Experiences

Remote Worldwide
View role

reputed company Virtual Customer Service Representative – Credit Repair and Credit Counseling Expert

Remote Worldwide
View role

reputed company Data Entry Clerk – Remote Database Management and Operations

Remote Worldwide
View role

reputed company Online Customer Service Representative – Delivering Exceptional Experiences for arenaflex Customers

Remote Worldwide
View role

reputed company Customer Service Associate – Retail Sales and Customer Experience Expert

Remote Worldwide
View role

reputed company Live Chat Specialist – Deliver Exceptional Customer Service Experience Remotely

Remote Worldwide
View role

Manager, Software Engineering (APEX)

Remote Worldwide
View role

Remote Work from Home Opportunity: Join arenaflex as an Entry-Level Customer Service Representative

Remote Worldwide
View role

Manager - Film, Content Consumer Insights

Remote Worldwide
View role

[Remote] User Training and Adoption Consultant - reputed company System

Remote Worldwide
View role

reputed company Data Entry Specialist – Part-Time & Full-Time Opportunities for Remote Work in Enhancing Efficiency and Customer Experiences

Remote Worldwide
View role

[Remote] Senior Sales Executive - National Payer Services

Remote Worldwide
View role

Vice President, Business Development - Remote Opportunity: Drive Growth and reputed company in Logistics and Supply Chain

Remote Worldwide
View role

reputed company Indirect Sales Specialist for Cricket Wireless – Driving Customer Experience and Sales Growth through Strategic Partnerships and Retail reputed company

Remote Worldwide
View role

Remote Overnight Schedules – Detail-Oriented Night Jobs at $25–$35/Hour (No Degree Needed)

Remote Worldwide
View role

Work From Home reputed company Data Entry Jobs – Part-Time

Remote Worldwide
View role