Pharmacist

• Remote order entry and CPOE order evaluation and verification
• Assure acquisition or renewal of all pharmacy staff licenses
• Performs as staff pharmacist as needed
• Physician and nursing consultations
• Clinical medication dosing services
• Review and monitoring of profiles and lab values for therapeutic outcomes
• Coordinates access to medications according to facility policy and procedures, and in compliance with state and federal laws and regulations.

PRN Pharmacist

• Responsible for the daily activities necessary to administer the Clinical Pharmacy Case Management with the Montana Healthcare Pharmacy Program.
• Full-time 40 hours a week position.

Pharmacist – Case Management

• Provide executive leadership presence with key Pharmacy leaders to maintain tight strategic alignment
• Define a multi‑year technology vision and roadmap to deliver the Pharmacy of the Future
• Lead the evolution to AI-first, cloud-first, and agentic architectures
• Create & deliver new solutions by helping partners to see the art-of-the-possible
• Reset how teams work by shifting from project-centric delivery to outcome-driven, product and capability-oriented operating models
• Drive 'Lead to One' execution by aligning org design, funding models, metrics, and incentives to enterprise and Pharmacy outcomes
• Own delivery discipline at scale in partnership with peers
• Integrate patient and provider experience into the core AI pharmacy architecture
• Develop and lead a world-class global workforce with strong talent mobility

VP, Pharmacy – Technology Transformation

• Provide consultations through the patient's preferred method of communication (text, app messaging, email, or phone)• Perform initial assessments by gathering/reviewing chart notes to determine appropriateness of prescribing patterns• Perform clinical check-ins to monitor adherence, efficacy, adverse reactions, and drug interactions• Identify patients in need of clinical interventions and work collaboratively with providers to provide therapeutic recommendations resulting in improved patient outcomes• Ensure transition of care by transferring out prescriptions to appropriate pharmacies in situations where Alto is unable to fulfill a patient’s prescription• Being responsible for communicating prescription statuses to patients and providers• Work closely with Specialty Operations to provide quality care through the following:• Maintain an in-depth understanding of pharmacy billing including but not limited to Medicaid, Medicare, ADAP, commercial insurance, and foundation assistance programs to help troubleshoot patient cost barriers• Proactively identify and communicate areas of concern regarding scheduling/delivery procedures• Develop and provide drug information material designed to enhance Specialty Operations’ performance• Stay abreast of relevant and evolving regulatory and industry standards, ensure that appropriate action is initiated, and communicate these trends to applicable personnel• Work interactively with a local and/or dispersed team to achieve company business and compliance goals/objectives

Patient Care Pharmacist – Short Term Assignment

• Use evidence-based medicine and clinical judgment to evaluate the suitability of pharmacotherapy for high-risk patients with chronic conditions, including diabetes, hypertension, heart failure and COPD
• Execute clinical protocols as allowed per organization and state regulatory agencies
• Optimization of drug coverage benefits for appropriate care and reduced costs (preferred formulary products, lower cost alternatives and home delivery pharmacy)
• Collaborate with physicians, nurses, and other healthcare professionals to optimize patient care
• Participate in high-risk rounds with a multi-disciplinary team to discuss patient progress and adjust treatment plans
• Excellent patient counseling skills and the ability to communicate complex medical information to patients and healthcare providers
• Disease state education for patients on appropriate use of medications and self-management
• Engage in quality improvement initiatives aimed at enhancing medication safety and efficacy
• Post-discharge medication reconciliation for high-risk transition of care patients
• Document all activity within clinic EMR and other required pharmacy or clinical management systems
• Support CMS Stars and HEDIS quality measures for successful clinic performance
• Maintain accurate documentation of clinical interventions and patient care activities
• Conduct in-service education and training sessions for healthcare staff and develop and share educational materials related to pharmacotherapy
• Stay current with advancements in pharmacotherapy and clinical guidelines.
• Provide consultation to healthcare providers on complex medication management issues
• Respond to additional requests from the Primary Care Organization, providing support within the pharmacist's defined scope of practice to advance organizational goals.
• Address and implement targeted initiatives or priorities as directed by the National Director or Associate Directors of Pharmacy, according to best practices and regulatory standards.

Senior Integrated Clinic Pharmacist

• Verifies member information and inputs data for the pharmacists
• Serves as mentor for less experienced staff
• Serves as department representative on intra-departmental initiatives
• Assists in formal training of associates and process improvement initiatives
• Conducts reviews by utilizing appropriate scripted algorithms in compliance with department guidelines
• Develops working partnerships with physicians and healthcare service providers
• Refers treatment plans to peer clinical reviewers in accordance with established criteria/guidelines

Pharmacy Technician II, BioPlus Specialty Pharmacy

• Develop and deliver clinical messages to physicians, members, clients, and consultants
• Manage prior authorization, high-cost cases, claims editing and clinical policy development
• Clinical program development including both medical and pharmacy benefit management
• Define, document, and deliver results for plan sponsors.
• Evaluate and summarize clinical literature as well as financial implications related to medication management options
• Ability to present deep clinical and cost effectiveness information as a peer-to-peer consult.

Clinical Pharmacist – Utilization Management

• Contact doctors and/or patients regarding need for complete and accurate information for prescription processing.
• Complete data entry of prescriptions after reviewing for completeness and accuracy.
• Work with pharmacists per work instructions, policy and procedures, management direction or any national or state regulations.
• Complete training on Risk Evaluation and Mitigations Strategies (REMS) program requirements.
• Serve as a subject matter expert (SME) and assist with questions/issues for team members in coordination with supervisor.
• May assist with training of newly hired pharmacy technicians.
• Additional duties as assigned, may be cross trained to support other functional areas.

Senior Pharmacy Technician

• Facilitates learning events that are performance-based in nature and across multiple platforms
• Delivers synchronous and asynchronous learning events using varied media in virtual and on-site environments
• Employs rapid course development methodologies to quickly meet client needs
• Measures, tracks and evaluates learner and client satisfaction

Trainer – BioPlus Specialty Pharmacy

• Reviews accuracy and completeness of prior authorization information requested
• ensures supporting documents are present and meet company set standards
• Assists with the completion of medical necessity documentation to expedite approvals
• ensures that appropriate follow up is performed
• Collaborates with other departments to assist in obtaining prior authorizations/appeals
• Document insurance company interactions and all prior authorization information in the system
• Reviews insurance denials and submits appeals as permitted by payor
• Contacts physician offices as needed to obtain demographic information or medical data

Authorization Representative II – BioPlus Specialty Pharmacy

• Responsible for ensuring successful implementation of high-quality performance solutions to the company and/or specific clients.
• Manages a team of Learning & Development associates responsible for the delivery of learning solutions to meet client needs and objectives.
• Consults with clients to understand strategic objectives.
• Oversees the consistent practice of performance consulting with clients to identify the root causes of performance gaps.
• Ensures alignment of local efforts with Enterprise strategic objectives.
• Oversees the formulation of teaching outlines, instructional methods, and/or teaching aids.
• Ensures courses and other educational information support the overall business objectives.
• Oversees the utilization of performance consulting skills in the development of training materials for associates.
• May conduct training sessions for clients or Learning & Development associates.
• Oversees the implementation of effective training feedback mechanisms to improve training programs and to assess the impact of the investment made in training.
• Partners with the Director to develop and implement market or business segment training strategy that aligns with the departmental/enterprise Learning & Development strategy.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Manager I, Learning – BioPlus Specialty Pharmacy

• Perform outbound and inbound medication adherence outreach (e.g., refill reminders, gaps‑in‑therapy follow‑up) using approved scripts and workflows
• Identify and document adherence barriers (cost, access, side effects, understanding) and escalate clinical concerns to a pharmacist or clinician
• Coordinate refills, prior authorization follow‑ups (as assigned), and pharmacy transfers in partnership with pharmacists
• Support population‑based adherence campaigns aligned to quality measures and organizational priorities
• Collaborate with interdisciplinary teams (Pharmacy, Care Management, Population Health) to close care gaps
• Adhere to all Intermountain policies, privacy standards, and medication‑related procedures

Pharmacy Technician – Population Health

• Provide support within collaborative pharmacy team environments
• Engage in patient care and team support in various pharmacy settings
• Focus on growing pharmacy experience or starting a career as a Pharmacy Technician

Pharmacy Technician

• Manage anticoagulation therapy under collaborative practice agreement for patients in Colorado and Montana
• Collaborate with the healthcare team to ensure safe, high-quality care and effective medication monitoring
• Act as a clinical resource to support safe anticoagulation practices
• Provide drug information to patients and medical providers
• Address and resolve medication related problems

Clinical Pharmacist – Anticoagulation

• Support development of pharmacy strategy, strategic priorities, and multi-year roadmaps aligned to enterprise goals and integrated pharmacy outcomes.
• Identify and frame high-impact opportunities using competitive/market context, internal performance insights, and stakeholder input; convert insights into decision-ready recommendations.
• Facilitate alignment across cross-functional partners by clarifying the “why/what,” expected outcomes, constraints, and tradeoffs (e.g., access vs. affordability vs. operational feasibility).
• Support financial assessments (value models, ROI, sensitivity/scenario analysis) to inform prioritization and funding decisions.
• Present clear options to leadership, including risks, benefits, and dependencies—grounded in quantified value and practical execution feasibility.
• Assess existing journey maps that span across pharmacy touchpoints to identify friction, root causes, and “moments that matter that line back up to the strategy.
• Facilitate working sessions to translate journey insights into actionable requirements, backlog items, and prioritized improvement themes (digital and non-digital).
• Develop crisp, executive-ready deliverables (memos, presentations, storyline narratives) that translate complexity into decision-ready choices.

Senior Pharmacy Strategy Advisor

• Serve as a valued member of Valued Pharmacy Services (VPS)
• Support the pharmacy benefit consulting team through all phases of the business
• Provide clinical assessments of assigned clients plan performance, identifying plan utilization trends or concerns
• Provide comprehensive clinical recommendations for the plan to help reduce plan cost while optimizing member health outcomes
• Coordinate VPS services to assigned clients
• Represent the clients’ interests with the providers
• Serve as the clients’ liaison to providers and other internal and external partners
• Provide client consultation regarding clinical opportunities, emerging trends, and best practices
• Assist in the education of the internal staff to advance VPS’ efforts to increase value by providing innovative cost-effective solutions
• Prepare reports deemed necessary by the leadership and/or broker.
• Keep all information on accounts accurate and up to date in the Zoho CRM software or any other client management software that is introduced in the future
• Meet or exceed departmental goals established by leadership.
• Keep industry skills and knowledge current by participating in seminars and classes for continuing education
• Conduct special projects at the request of the leadership.
• Perform related and/or other duties as assigned.

Clinical Pharmacy Benefit Consultant

• Providing assistance to pharmacists, pharmacy coordinators, and pharmacy programs or initiatives
• Evaluating and resolving pharmacy issues
• Providing member support for programs and initiatives

Pharmacy Technician Representative

• Completes and submits re-authorizations for patients
• Enters re-authorizations into the portal with accuracy
• Maintains log of all re-authorizations submitted
• Follows up with insurance companies for approval/denial status

Authorization Representative I – BioPlus Specialty Pharmacy

• Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs
• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations
• Participate in clinical quality audits and inter-rater reliability testing
• Provide internal team support for escalations and questions
• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Prior Authorization Pharmacist

• Use Oscar and vendor tools to determine eligibility, screen for required documents, create, process, and properly track pharmacy prior authorization requests
• Prepare, organize, and distribute pharmacy prior authorization requests for review by pharmacist/physician and respond to pharmacist/physician requests for additional information
• Collect relevant medical information (via telephone, fax, and portal) and apply the appropriate PA criteria, clearly documenting all communication and decision making
• Meet required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review
• Communicate oral and written prior authorization outcome notifications that comply with standards and requirements for content and accuracy
• Compliance with all applicable laws and regulations
• Other duties as assigned

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