Pharmacist

• Lead hospital pharmacy operations across assigned pharmacy and clinical service areas
• Develop and execute programs, processes, and business strategies that support service expectations, practice standardization, and compliance
• Partner with pharmacy leaders, clinical teams, service lines, and operational partners to align pharmacy services with patient care needs
• Build clear workflows, expectations, and performance standards so pharmacy teams can work efficiently and consistently
• Manage budget, financial targets, staffing priorities, and operational performance for assigned areas
• Serve as a key pharmacy liaison across hospital teams, programs, clinical areas, external agencies, and other stakeholders
• Use metrics, analysis, and improvement plans to monitor performance and support timely operational decisions
• Lead or support development of operational and clinical policies for assigned pharmacy areas
• Partner with Human Resources and pharmacy leadership on recruiting, onboarding, professional development, succession planning, and talent growth
• Maintain readiness for Board of Pharmacy requirements, accreditation standards, applicable laws, internal policies, contractual obligations, and professional practice standards

Pharmacy Hospital Services Director

• 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

• 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

• Review medication lists to eliminate barriers to therapy
• Contact pharmacies for medication refills
• Document care and communicate with providers
• Facilitate access to medications for financially challenged members

Clinical Pharmacy Technician

• 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

• Support initiatives to resolve gaps in care through direct provider and member outreach
• Ensure that all recommendations are consistent with the latest guidelines or otherwise supported by the clinical compendia
• Provide clinical pharmacy support to pharmacy technicians as they conduct outreaches to members regarding med adherence
• Collaborate internally with Marketing, IT, and Enterprise Analytics to assist with the creation of strategic digital communication channels for member outreach
• Identify and resolve same-day grievances reported by members in a timely manner

Clinical Pharmacist, MTM

• Responsible for support and input to clinical programs such as: Health Management, Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high quality, cost effective drug therapy; and to identify opportunities for improvement in efficiency, accuracy, and appropriateness of the programs in place
• Participate in the Coverage Determination (Certification, Prior Authorization, Medical Exception, Exception to Coverage, etc.) process by reviewing all requests which are not clearly approvable based on specified criteria (algorithms), making all coverage denial determinations, and identifying themselves by first name, title, and responsibility at Navitus in relation to drug utilization management program administration
• Continually monitor the quality and efficiency of the Coverage Determination process including coverage criteria, denial language, and communication with prescribers
• Provide input to clinical content of new programs and for maintenance of existing programs
• Complete all annual URAC training requirements
• Facilitation of communication and education to clients, members, and internal staff regarding clinical daily issues and objectives
• Provide support to operational departments on the implementation of various PBM programs and daily functioning in support of member/patient quality of care
• Responsible for supporting / providing clinical expertise related to formulary decisions made by the Pharmacy and Therapeutics committee
• May review health care survey data for Medicare Part D qualified participants and/or perform phone consultations with Med-D enrollees; aid in documentation of calls; designate enrollees for repeat interaction
• Other duties as assigned

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