Responsibilities:

Understands the External Pharmacy Review requirements as outlined in the Quality Assessment and Performance Improvement (QAPI) Plan. Reviews BCSC participants' drug regimens and profiles as needed. Collaborates with the BCSC Medical Director to develop effective review processes, document findings, and provide prescriber education. Reports findings to the Quality Assessment and Performance (QAPI) Committee on a quarterly basis. Analyzes chart review findings to identify opportunities for physician education and outreach. Ensures appropriate medication management and utilization through chart review analysis. Applies chart review findings to clinical outcome-focused projects. Works with BCSC's contracted Pharmacy Benefit Management (PBM) firm to ensure efficient and accurate administration of pharmacy benefits. Assists BCSC's contracted pharmacy with accurate Prescription Drug Event (PDE) reporting to CMS to meet all Medicare Part D requirements. Identifies cost-effective pricing for both brand and generic medications. Reviews and integrates comprehensive utilization data from the PBM into the data warehouse. Manages the pharmacy network to ensure efficiency and compliance. Provides accurate and timely enrollment and disenrollment data to the pharmacy, contracted facilities, and staff. Coordinates with the contracted pharmacy on medication management issues. Ensures appropriate in-service training for the proper dispensing, storage, and administration of participant medications. Reviews storage protocols and system requirements for clinic and emergency medication supplies at least semi-annually or as needed. Provides oversight of the medication refill process. Creates process efficiencies to improve clinical workflow related to medication administration and processing. Collaborates with the Health Plan Specialist to complete semi-annual and quarterly Medicare Part D reports as needed. Develops and updates policies and procedures as required. Prepares for and attends BCSC Clinic staff meetings. Assists with drug usage guideline decisions at medical staff meetings by preparing and presenting utilization trends. Ensures compliance with and optimization of BCSC policies and procedures related to medications and biologics. Works with the Quality Assurance Coordinator to complete regulatory reports and filings as required. Researches and responds to drug information inquiries from participants, families, and medical and administrative staff. Attends all assigned committee meetings. Leads Pharmacy & Therapeutics (P&T) meetings on a quarterly basis. Conducts monthly audits of Controlled House Stock Medication counts. Completes home visits as needed for medication reconciliation and participant education.

Experience and Skills:

Degree and Diplomas:

Must possess a Doctor of Pharmacy (PharmD) degree.

Certificates & Licenses:

A current California registered pharmacist license is required. Employment is contingent upon TB screening and the successful completion of a health examination by a healthcare provider. A valid California driver's license is also required.

Experience:

A minimum of 2-3 years of experience in a managed care clinical pharmacy setting, clinic operations, or completion of a pharmacy practice residency. At least one year of experience working with frail or elderly populations is required. #COR1

Pay:

$125,000.00 - $135,000.00 per year

Benefits:

401(k) Health insurance Paid time off

Education:

Bachelor's (Required)

Experience:

managed care clinical pharmacy setting: 3 years (Required)

Work Location:

In person