Pharmacist

• Acts as a liaison between Finance, Analytics, IT and Pharmacy
• Focus on understanding data content and the business logic behind all data transformation for reporting
• Develop expertise in the data and systems leveraged internally and externally for the Pharmacy Department
• Gather requirements, perform analysis, support the development and testing of processes
• Understand and document the applications, data and associated technologies for the Pharmacy Department

Senior Pharmacy Performance Specialist

• 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

• Demonstrates comprehensive knowledge of current pharmacotherapeutic principles, medical terminology, pathologies, disease state and population management, age appropriate therapy, and other information as related to medical and/or pharmaceutical care management.
• Work with Sentara Health Plan (SHP) members to close medication-related gaps in care
• Work on the referrals from the team
• Counseling members on their medication therapy

Clinical Pharmacist – Medicare STARS

• 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

• 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

• Process prescriptions for outpatient dispensing and mail out shipping
• Greet both internal and external customers providing excellent customer service
• Monitor inventory and maintain a clean and organized pharmacy
• Travel occasionally for site reviews, training, and education
• Complete all training and education required to maintain state license and PTCB national certification
• Maintain pharmacy inventory by checking pharmaceutical stock levels and anticipating demand
• Prepare prescription orders for the pharmacist to dispense

Pharmacy Technician

• Develop and implement comprehensive pharmacy benefit strategies to maximize savings for employer clients.
• Act as a senior consultant by offering direct client interactions and engaging with leadership teams.
• Drive fundamental changes in the pharmacy consulting market and lead the development of new capabilities.
• Lead significant projects and potentially manage a team of pharmacy consultants.
• Provide insights and updates on industry trends, contributing to the firm's thought leadership.

Lead Pharmacist

• Develops and maintains positive customer relations
• Interacts with internal and external customers
• Responds to client issues via telephone and written correspondence
• Completes necessary research to provide proactive, thorough solutions
• Supports and guides the customer with their personal options and decisions

Pharmacy Customer Associate II

• 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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