Clinical Pharmacist (PharmD Sunset Park/Borough Park)

<em><strong>Your Talent. Our Vision.&nbsp;</strong>&nbsp;</em>At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it&rsquo;s a powerful combination.&nbsp; It&rsquo;s the foundation upon which we&rsquo;re creating greater care for our members, greater value for our customers and greater health for our communities.<strong>&nbsp;Join us and together we will drive the future of health care.</strong>

Brooklyn, NY

CareMore Health - New York

<p>CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. &nbsp;We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. &nbsp;We build and lead integrated, multi-disciplinary clinical teams caring for the country's most at-risk patients and currently serve <strong>nearly 200,000 </strong>patients in <strong>multiple </strong>states across Medicare, Medicaid, and commercial populations. &nbsp;We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. &nbsp;</p> <p>&nbsp;Our comprehensive, <strong>upstream</strong> approach to <strong>health is led by robust multidisciplinary teams of</strong> extensivists, primary care clinicians, behavioral health clinicians, care management, social workers, case managers, community health workers, and mobile home-based care teams.</p> https://www.caremore.com/

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Pharmacist

Overview: Responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management.&nbsp;
Responsibilities: <ul> <li>Researches and synthesizes detailed clinical data related to pharmaceuticals. Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.&nbsp;</li> <li>May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with Anthem or health plan medical directors as needed.&nbsp;</li> <li>Serves as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and clinical support for therapeutic interventions.&nbsp;</li> <li>Prepares information for network physicians.&nbsp;</li> </ul>
Requirements: <ul> <li>Requires a registered pharmacist; 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background. Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).&nbsp;</li> <li>PharmD preferred.&nbsp;</li> <li>Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US, unless they are command-sanctioned activities. For URAC accredited areas the following applies:&nbsp;</li> <li>Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.</li> </ul> <div>&nbsp;</div>