Aetna Clinical Pharmacist (Licensed Pharmacist) - KS MCD in Overland Park, Kansas

Req ID: 51950BR

Are you ready to join a company that is changing the face of health care across the nation? Aetna Better Health of Kansas is looking for people like you who value excellence, integrity, caring and innovation. As an employee, you'll join a team dedicated to improving the lives of KanCare members. Our vision incorporates community-based health care that works. We value diversity. Align your career goals with Aetna Better Health of Kansas, and we will support you all the way.

POSITION SUMMARY

The Clinical Pharmacy Advisor supports a new and innovative member centric clinical care program for the Pharmacy Medication Management Program. The Pharmacy Medication Management Program (PMMP) integrates clinical pharmacists with the local health plan clinical care team to improve medication utilization and member outcomes. The PMMP Clinical Pharmacist is responsible for leading pharmacy based initiatives and supporting the work of clinical care teams serving high risk Medicaid members. The Clinical Pharmacist will be responsible for assisting in the development and implementation of Pharmacy Medication Management Programs as well as independently administering clinical pharmacy initiatives.

This is an In Office position in Overland Park, KS

Fundamental Components:

  • Collaborate with plan level associates (including pharmacy director, care managers, medical directors, provider relations, quality management, and others as necessary) to identify high priority member and provider populations requiring clinical pharmacy interventions.

  • Review and evaluate pharmacy and medical claims data and reporting with plan associates to identify members and prescribers requiring clinical pharmacy interventions.

  • Assist in the development of PMMP tools, resources, and outreach material as necessary

  • Serve as the brand ambassador for the PMMP within the plan to drive health plan associate utilization of the available programs.

  • Educate and train plan level associates on PMMP processes and priorities.

  • Independently complete accurate and comprehensive medication reviews and perform the corresponding member, care manager, and provider outreach as necessary.

  • Serve as the medication expert for health plan clinical care activities.

  • Engage providers to encourage the appropriate prescribing of medications.

  • Work collaboratively with health plan associates including care managers, medical directors, and quality management to perform member outreach that leads to improved medication utilization.

    Qualification Requirements:

  • Current unrestricted KS state license; Required.

  • Minimum of 1-3 years clinical pharmacy experience; Required.

  • Bachelor's degree from an accredited school of pharmacy or Pharm.D from an accredited school of pharmacy; Required.

  • Understanding of medical and pharmacy terminology; Required.

  • Experience in managing long-term, medication care plans; Required.

  • Managed Care experience; Preferred.

  • Medication Therapy Management Experience; Preferred.

  • Knowledge of clinical program components, formulary designs, and prescription benefit trends; Preferred.

    Education:

    The minimum level of education required for candidates in this position is a Doctor of Pharmacy.

    Licenses:

    Pharmacy/Licensed Pharmacist is required.

    TECHNOLOGY EXPERIENCES

    Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

    Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User

    Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

    ADDITIONAL JOB INFORMATION

    Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

    We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

    Together we will empower people to live healthier lives.

    Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

    We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    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.

Job Function: Health Care