1. Choose your Affinity Group

* Equal Opportunity / Affirmative Action

We serve Equal Opportunity Employers and are an Equal Opportunity Employer. The Professional Diversity Network has separate professional networking sites for different affinities, and in selecting the groups you identify with, you will be joined with those networks.

Note: Providing this information is strictly voluntary - you will not be penalized or subjected to adverse treatment. If you choose not to provide this information, simply select "Choose not to identify."

2. Choose Method
X
Sign in with LinkedIn
Sign in with Facebook
OR

Tell us about yourself

Clinical Pharmacist
at Aetna
Dunkirk, NY

Clinical Pharmacist
at Aetna
Dunkirk, NY

Save or bookmark jobs as you go and access them anytime later with your account.

Contacts

Description

Description: The Clinical Pharmacist is responsible for leading pharmacy based strategies and supporting the work of the clinical care teams serving high risk commercial and Medicare Advantage members in a new innovative community based care management program. The Clinical Pharmacist, works directly with the clinical staff, as part of the multi-disciplinary team, and is responsible for promoting and implementing pharmacy strategies and interventions that support member centered care management along the health continuum to enhance medication knowledge, adherence, safety and access. Fundamental Components: · Assesses members
medication regimens for indication, effectiveness, safety and adherence.
· Conducts case reviews
to identify, resolve and prevent medication-related problems.
· Partners with Aetna
pharmacy to leverage pharmacy benefits and resources i.e. Medication Therapy
Management, Specialty Pharmacy, mail order services.
· Utilizes clinical and
analytical skills to positively impact the health of members while helping to
reduce health care costs.
· Participates in member
care conferences and contributes to the member plan of care.
· Collaborates with the medical
and program leadership in developing medication management protocols and
education for clinical staff.
· Supports the health
plans NCQA, HEDIS and CMS STARS measures.
· Participates in the
multi-disciplinary team, providing expert consultations to optimize member
benefits and access to medications.
· Confers with
prescribers to improve member medication regimens as appropriate.
· Serves as a pharmacy
subject matter expert and drug information resource for clinical staff,
providers, program teams and members.
· Promotes effective
communications between customers and business partners.
· When appropriate,
conducts at-home assessments and intervention sessions with highest risk member
population.

· Maintains a
comprehensive working knowledge of community resources, payer requirements and
network services for target population to maximize benefit to member overall
wellbeing.
· Adheres to care
management and quality management processes in compliance with regulatory and
accreditation guidelines and company policies and procedures.

· Other responsibilities
as assigned.

Background Experience: Current unrestricted Licensed Pharmacist state license required.
3+ years clinical pharmacy experience required (Retail pharmacy experience is not included in the
required number of years of experience)
Commercial Managedcare/managed pharmacy experience required
Managed Medicare pharmacy experience required
Experience in managing long-term, medication care plans is required



Pharmacy administrative experience preferred
Understanding HEDIS,Stars, and other quality programs and processes is preferred
Knowledge of clinical program components, formulary designs, and prescription benefit trends preferred
Understanding of medical and pharmacy terminology preferred


Potential Telework Position: Yes Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Similar Jobs

See All »

Other Jobs at Aetna

See All »