Job Description:Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Providence Health Plan is calling a Clinical Pharmacy Specialist who will:
Be responsible for the effective provision of clinical pharmacy services to members of Providence Health Plan (PHP)
Collaborate with medical directors, nurse case managers, and network physicians and other providers to provide coordinated, high quality and evidenced-based, cost-effective care to PHP members
Be responsible predominantly for the following areas:
Direct patient care through Medication Therapy Management (MTM) program
Population-based disease management
Specialty pharmaceutical acquisition and care coordination
Drug utilization review and program development
Clinical policy development and application, including Pharmacy and Therapeutics (P&T) Committee participation
Be skilled at reviewing pharmacy and medical claims
Interact with, assess and provide education to members and caregivers
Develop medication-related problem lists
Implement medication action plans including interventions with health care providers
Educate and consult with physicians, pharmacists, nurses, and other members of the health care team, both internally and externally
Be responsible for drug utilization work and medical policy activities including developing and applying drug medical policies to influence safe, quality, and cost-effective use of prescription pharmaceuticals
We welcome 100% remote work for residents who reside in one of the following States:
Washington
Oregon
Required qualifications for this position include:
Pharm D: Graduate from an accredited College or School of Pharmacy -OR- Bachelor's -OR- Master's Degree in Pharmacy and 5+ years of managed care experience with with experience documenting responsibility for evidence and clinical case review and direct consultation of medication information with physicians and/or patients
PGY-1 Residency training with 1+ years of experience within relevant practice setting -OR- a PGY-1 Managed Care Residency with Providence Health Plan -OR- 3+ years' experience as a clinical pharmacist in managed care
Oregon Pharmacist License
National Certification from Board of Pharmacy Specialties within 2 years of hire date
Experience in writing, including research protocols, medical papers for publication, and educational pieces for patients and healthcare providers
Experience reviewing medication evidence and clinical policy development
Experience working in programs and services that support population health management
Preferred qualifications for this position include:
Completion of specialty/PGY-2 Residency
Experience and expertise working with a pharmacy claims processing platform
Why Join Providence?Our are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our of caring for everyone, especially the most vulnerable in our communities.About Us: At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.Check out our for more information about our Benefits and Rewards.About the Team: Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.Providence is proud to be an . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
