Clinical Pharmacist - Bilingual Spanish

            JOB DESCRIPTION

 

 

Job Title:  CLINICAL MANAGER 

SUMMARY:

 

Serves as the primary liaison between Catalyst Rx Clinical Operations and Customer Service; provides clinical support to Client Services, Operations, IT and Customer Service Pharmacy Technicians, claims processing system, and plan development as it relates to clinical operations; and functions as a Clinical account manager for assigned client accounts.

 

ESSENTIAL FUNCTIONS:

 

· Provides superior clinical consultation and account management with focus on client retention/satisfaction and trend management.

 

· Conducts utilization and cost analyses, drug utilization reviews and analyses, formulary management, and serves as a drug information resource.

 

· Participates in client meetings, as needed, and coordinates implementations of clinical projects/programs.

 

· Provides education for clients, pharmacists, members, and physicians, including one-on-one physician visits and implementation of educational programs.

 

· Supports Catalyst Rx and client specific Pharmacy and Therapeutics functions and responsibilities.

 

· Supports elevated customer service and prior authorization inquiries specific to assigned accounts.

 

· Initiates and develops clinical products and services and supports Sales and Marketing, as needed.

 

· Provides drug information and clinical support for Customer Service Pharmacy Technicians; provides clinical input and support for claims processing programs; and assists in the development of corporate clinical products and services.

 

· Supports MTM services and products as needed.

 

· Supports corporate clinical pharmacy operations as needed.

 

· Assists and participates in Pharmacy Student/Externship programs.

 

· Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, HealthExtras Code of Conduct, Business Ethics Policies and Procedures and other policies and procedures applicable to position. 

 

· Actively participates in HealthExtras Compliance and Ethics Program, including attending annual compliance and ethics training and reporting suspected violations of the law or HealthExtras policies and procedures via HealthExtras Procedures for Reporting Incidents of Possible Improper Employment Practices, Misconduct, or Improper Financial/Accounting Practices.

 

· Follows all policies and procedures related to job.

 

· Performs other duties as assigned to meet corporate objectives.

 

· Some travel may be required.

 

QUALIFICATIONS:

 

Bachelor’s Degree in Pharmacy or doctorate of Pharmacy (PharmD), current state pharmacy license and 2+ years pharmacy practice experience in a managed care environment, including experience developing formularies, presenting at P&T committee meetings, and performing drug utilization analyses; or equivalent combination of education and experience.  Strong communication, interpersonal, presentation, customer service, and computer skills required.  **Must be bilingual Spanish***