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Pharmacist Clinical in Cerritos, CA at Anthem, Inc.

Date Posted: 12/5/2018

Job Snapshot

Job Description

Responsible for performing a variety of job functions relating to the direct care of patients including management of chronic disease states, education of physicians and staff regarding clinical information and implementation of clinical programs that involve patients and drug therapy. Primary duties may include, but are not limited to: Medication Therapy Management to include reviewing patient medications and polypharmacy in person or telephonically. Researches and synthesizes detailed clinical data related to pharmaceuticals. Prepares and presents therapeutic class reviews and drug monograph information. May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with Anthem or health plan medical directors as needed. Serves as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and clinical support for therapeutic interventions. Prepares information for network physicians. Requires a registered pharmacist; 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background. Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh). PharmD preferred. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US, unless they are command-sanctioned activities. For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
An Equal Opportunity Employer/Disability/Veteran Requires a registered pharmacist; 2 years of managed care pharmacy (PBM) experience, ambulatory care pharmacy experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background. Must possess an active unrestricted license to practice as an RPh required. PharmD preferred. Spanish fluency is preferred.