Job Description

Job Title: Clinical Pharmacy Specialist, Medication Therapy Management (MTM) Services
Job ID: 719960
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: RxAnte Cost Center
Location: 600 Grant St, Pittsburgh PA 15219

Description

UPMC has an exciting opportunity for a full-time Clinical Pharmacy Specialist, Medication Therapy Management (MTM) Services to support the RxAnte department. This position is a daylight role (9AM-7PM Monday through Friday). Occasional Saturday Shift required.

 

 

This position is an office-based role and will be located in downtown Pittsburgh, PA. No outside travel will be required.

 

 

Previous Medication Therapy Management (MTM), retail and management experience is preferred.


This position provides pharmacists with the ability to utilize clinical knowledge and pharmacy expertise to recommend and discuss the optimal medication regimen with members. Interventions will include adherence recommendations, medication therapy management, and deployment of innovative clinical programs to enhance member health. These services will be provided in compliance with state and federal regulations, NCQA, standards, the mission, policies and procedures of Health Plan and Pharmacy Department. Individual should demonstrate professionalism and commitment to meet UPMCHP goals and objectives.

Responsibilities:

  • Adhere to call center key performance indicators at all times.
  • Adhere to organizational procedures, including ensuring secure privacy and confidentiality as required by HIPAA employing effective communication methods to maintain call control, documenting appropriate comments, and acting in alignment with all State Regulations and Federal Laws.
  • Collaborate with the customer's internal departments to resolve non-medication related issues and refer members to other resources and/or programs.
  • Complete appropriate documentation regarding interventions.
  • Conduct member, pharmacy, and physician interventions focused on quality measures, including adherence with a goal of resolving medication related issues.
  • Deliver comprehensive medication therapy management services to optimize a member's medication regimen including targeted and comprehensive medication reviews.
  • Develop communication materials to providers and members, including discussions regarding adherence, health education, medication adherence, and trend management.
  • Ensure compliance with regulatory and accreditation requirements of clinical functions.
  • Ensures first call resolution to effectively resolve member needs and concerns.
  • Foster and maintain collaborative relationships with internal and external customers.
  • Maintain a solid understanding of the requirements of the Pennsylvania
  • Maintain a solid understanding of the requirements of the Pennsylvania Department of Health, DPW, CMS and the National Committee for Quality Assurance, specifically as they relate to the expectations of pharmacy operations
  • Participate in trainings, meetings, committees, and work groups both internally and externally as assigned.
  • Provide clinical assistance support for Pharmacy Technicians when necessary.
  • Provide clinical information to members regarding their medications and answer any pharmaceutical-related questions they may have.
  • Provide innovative and applicable ideas in clinical program development, provider education, MTM and/or improvements in programs and edits that already exist, including both improving operational efficiencies, as well as developing new clinical edits. Implement these new ideas or improvements as approved, while also considering outcomes in all programs.
  • Teaching and Education Support ongoing training and development programs for Call Center support staff: students and pharmacy technicians.

Qualifications

  • Bachelor of Science Degree in Pharmacy, and/or Doctor of Pharmacy Degree (Pharm.D.) from an accredited U.S. School of Pharmacy.
  • MTM and related clinical services experience preferred.
  • Effective communication skills, both written and oral.
  • Excellent customer service skills including warm telephone manner.
  • Must have strong organizational skills.
  • Computer literacy for pharmacy programming, word processing, data management.
  • Assessment of job related skills and competency will be reviewed annually via daily functioning, job-related documentation, department based competency programs, and continuing education activities.

Licensure, Certifications, and Clearances:

  • Pharmacist

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $41.75 to $70.84

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

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