Consultant Pharmacist II Job at University of Massachusetts Medical School, Westborough, MA

TVVBOWR2Y3ZKQ0orbEcwV2FjU0xyc1ZZVUE9PQ==
  • University of Massachusetts Medical School
  • Westborough, MA

Job Description

Overview

POSITION SUMMARY:

Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist II functions as a team member of the drug utilization review programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior authorization for member prescriptions and client member's drug therapy. This position handles live calls from physicians and pharmacists to review appropriate drug therapy and determine approval or denial of these real time prescriptions with increasing independence. The incumbent of this position will also review requests for prior authorization and determine approval or denial of these requests. The Consultant Pharmacist II serves as a resource for Consultant Pharmacist I staff.

Responsibilities

ESSENTIAL FUNCTIONS:
  • Participates in orientation and training of Consultant Pharmacist I staff.
  • Reviews clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance with increasing independence.
  • Decides in real time via telephone communications with pharmacies the authorization or denial of prior approval requests for prescription medications.
  • Provides pharmaceutical expertise and knowledge to advisory board's clinical workgroups.
  • Monitors over-utilization and under-utilization of prescribed medicines for members.
  • Assists in monitoring and researching profiles for compliance on a daily basis.
  • Refers suspected abuse and fraudulent members to program management or designee for case review.
  • Participates in site visits to client offices, as necessary.
  • Participates in quality improvement and quality assurance initiatives.
  • Perform other duties as required.
Qualifications

REQUIRED QUALIFICATIONS
  • Bachelor of Science degree in Pharmacy with 2 years of pharmacy-related work experience OR
    • Doctor of Pharmacy degree with 1 year of pharmacy-related work experience OR
    • Doctor of Pharmacy Degree with completion of 1 year of pharmacy residency
  • Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts
  • Ability to travel to off-site locations.

Job Tags

Work experience placement,

Similar Jobs

Career Concepts Staffing Services, Inc.

Recruiter Job at Career Concepts Staffing Services, Inc.

 ...Job Description Outbound Staffing Recruiter Are you passionate about helping others find their dream jobs? Do you have a knack...  ...to join our dynamic team as Career Consultant Trainees! This entry-level position offers comprehensive training and a clear path for growth... 

Eat n Park

Dishwasher - Immediate Opening Job at Eat n Park

Our starting rate for this position is $12 / hour or more - depending on experience! This rate applies to anyone who can work 20 or more hours a week and who are age 18 or older. While we are accepting all applications, we are looking for candidates that can work closing...

XPO Logistics

Truck Driver - Home Daily - CDL A Job at XPO Logistics

 ...Requisition Id: 384713 Business Unit: LTL Location: La Salle, IL, US, 61301 What You'll Need To Succeed As A Truck Driver At XPO Minimum qualifications: Be at least 21 years of age Valid Class A commercial driver's license Safe driving record and... 

Gardner Resources Consulting, LLC

Director of Data and Biostatistics Job at Gardner Resources Consulting, LLC

 ...Job Description Director of Data and Biostatistics Education and Experience: Masters degree in Life Sciences, Health Informatics, Biostatistics or related field. Minimum of 810 years of data management and/or biostatistics experience in clinical research... 

Outlier AI

AI Usability Tester (Remote) Job at Outlier AI

 ...data has led to AI advancements for the world's leading AI labs and large language model builders. Weve built a best-in-class remote work platform for our freelance contributors to provide valuable, specialized skills, and we in turn strive to provide them with a...