Margin Clinical Pharmacist
Job Locations: US-CO-ENGLEWOOD | US-OK-OKLAHOMA CITY | US-GA-DULUTH | US-FL-FORT MYERS | US-NJ-FAIRFIELD
ID: 2024-151708
Line of Business: Amerita
Position Type: Full-Time
Pay Min: USD $103,300.00/Yr.
Pay Max: USD $154,900.00/Yr.
Our Company: Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.
Overview: The Margin Clinical Pharmacist will work with the Margin team to provide appropriate recommendations for drug therapy and contribute to the optimal medication management of patients. Responsibilities include evaluating physician medication orders, providing support for the Infusion pharmacy operations, making recommendations for therapy changes, and collaborating with the healthcare team.
Responsibilities:
- Evaluates physician medication orders for appropriateness of drug, margin, medical or pharmacy billing, dosage, potential interactions, and route of administration.
- Provides support for the Infusion pharmacy dispensing and fulfillment operations across the pharmacy network.
- Makes recommendations for therapy changes to the physician and facility staff as appropriate.
- Continuous review of products selected for each patient to validate margin, formulary changes, and medication appropriateness based on disease state.
- Makes decisions to approve or deny each claim that is reviewed accurately.
- Audits previous approvals to ensure losses are appropriate and the reimbursement is up to date.
- Identifies brand to generic conversion opportunities to enhance probability and minimize copay costs to patients.
- Serves as lead resource to internal stakeholders for medical/drug information inquiries.
- Identifies problem areas with effective follow-through to quickly address the root causes.
- Maintains patient database to include appropriate current and past medical history.
- Collaborates with the healthcare team to provide clinical and technical support as needed.
- Documents all communication with healthcare team members and patients in the medical record.
- Responds to inquiries from internal or external stakeholders for drug/medical information.
- Documents adverse events and product complaints per contractual obligations.
- Assists facility/agency staff with procedures relating to safe drug management.
Qualifications:
Required Education and Experience:
- Bachelor's Degree in Pharmacy or PharmD; Master's degree in accounting or finance preferred.
- One or more years of specialty or infusion pharmacy practice experience.
Knowledge Skills and Abilities:
- Knowledge of pharmacy laws and federal and state regulations concerning pharmaceutical care practices.
- Strong problem-solving skills.
Licenses and Certification:
- Current pharmacist licensure in at least one state or US territory.
- Credentialing from Board of Pharmacy Specialties (BPS) desired.
About our Line of Business: Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.
Salary Range: USD $103,300.00 - $154,900.00 / Year
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