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Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Position Title: Ambulatory Care Clinical Coordinator

Department: Pharmacy

Title of Manager: Senior Manager, Pharmacy or Pharmacy Clinical Supervisor

Supervises: Non-Supervisory

Exemption Status: Exempt

Requisition ID: 23992

Pay and Benefits: Estimated hiring range $133,450 – $161,480 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers

Posting Notes: This is a fully remote role with flexible scheduling options. Candidates must have a current Pharmacist license in Oregon. This role will focus on Medicare Quality programs.

General Statement of Duties
The Ambulatory Care Clinical Coordinator (pharmacist) is responsible for providing oversight of an assigned area (Care Coordination). The pharmacist needs to demonstrate consistent application of knowledge and skills related to pharmacy benefits, quality measures, and other initiatives in order to communicate, partner, and deliver appropriate, safe, efficient, and cost-effective patient care as part of a multidisciplinary team. Responsibilities include supporting the patient-centered medical home, incorporating principles of population-based medicine, expanding and coordinating the expansion of pharmaceutical care services to patients across the health-system through primary care clinics, community pharmacies, or other designated environments. Care Coordination: This position is responsible for coordinating effective use of the pharmacy benefit by delivering clinical and educational interventions designed to improve pharmaceutical care.

Essential Position Functions
Develop and conduct quality improvement programs related to the pharmacy program.
Develop and implement clinical educational programs to improve drug utilization and quality.
Develop and conduct educational initiatives to improve prescribing patterns for quality and/or cost opportunities to support sustainable cost trends with the highest quality.
Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives.
Develop and conduct retrospective drug use reviews.
Leading the design, development, and implementation of quality improvement initiatives related to the pharmacy program will be an important aspect of this position.
Review medication prior authorization requests and appeals as assigned.
Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others as applicable.
Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee and other pharmacy program activities as assigned.
Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit.
Consult with clinicians and pharmacists to resolve pharmacy benefit issues.
Precept pharmacy students and residents.

Position assigned to Care Coordination:

Critically evaluate drug therapy regimens for patients enrolled in the care coordination program and assist with developing treatment plans.
Provide medication therapy management (MTM) services.
Utilize technology platforms to document and to meet MTM objectives.
Monitor MTM objectives and high-risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight.
Perform medication reviews and other tasks as assigned to meet plan quality metrics.

Essential Department and Organizational Functions
Propose and implement process improvements.
Meet deadlines for completion of workload.
Maintain agreed upon work schedule.
Demonstrate cooperation and teamwork.
Provide cross-training on specific job responsibilities.
Meet identified business goals that contribute to departmental goals.
Follow established departmental policies and procedures.
Perform other duties and projects as assigned.

Knowledge, Skills and Abilities Required
Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine
Ability to design and review pharmacy claims analysis/reports according to specific project requirements
Must have comprehensive, clinical pharmaceutical knowledge base
Must be highly motivated and have the ability to work independently
Excellent organizational, project management, and time-management skills
Excellent written and verbal communication skills
Excellent customer service skills
Ability to work with diverse groups
Ability to manage multiple tasks
Ability to negotiate, problem-solve, and consensus-build
Basic word processing, spreadsheet, and database skills

Education and/or Experience

Required:

Graduate of an accredited pharmacy program
Current (or eligible) unrestricted licensure as a pharmacist in the state of Oregon
Advanced pharmacy training (PharmD, residency, fellowship, board certification or master’s degree in related discipline)
Practical experience with minimum 2 years as a clinical pharmacist in pharmaceutical care management in an ambulatory care or other clinical setting (which can include residency experience)

Preferred:

Previous experience in managed care and project management
PGY1 residency training

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.

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