managed care pharmacist

SmithRx

<div><p><b>Who We Are:</b></p>
<p>
SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.</p>
<p>
We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:</p>
<ul>
<li><b>Integrity:</b> Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.</li>
<li><b>Courage:</b> We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward&mdash;always.</li>
<li><b>Together: </b>The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.</li>
</ul>
<p><b>Job Summary:</b><br>
The Clinical Strategy Pharmacist will support the clinical strategy team to expand drug pathways and clinical programs. They will interface and partner with internal teams across the organization (sales, analytics, clinical, marketing, etc.). In this role you will also be responsible for offering clinical insight to the sales team promptly so they can rapidly respond to clinical questions during the pre-sales process. You will bring strong industry and product knowledge and serve as a trusted advisor and business partner for the sales and marketing departments. This individual is relied upon to provide proactive information regarding pharmacy trends, programs, and industry changes to the sales, marketing, and other relevant internal departments. This role will also interact with external partners as needed to support clinical programs.</p><br>
<p><b>
What you will do:</b></p>
<ul>
<li>Independently manage tasks and projects to meet deadlines.</li>
<li>Provide excellent written and verbal communication to internal teams as the clinical subject matter expert.</li>
<li>Support the clinical strategy team to enhance drug pathways and clinical programs.</li>
<li>Collaborate with internal subject matter experts across the organization for clinical program development and expansions.</li>
<li>Provide clinical insights for presentations and responses in the pre-sales process and new client implementation. Join sales and implementation calls when clinical insight is needed.</li>
<li>Create, update, and provide clinical input for marketing materials for members, brokers, and marketing campaigns.</li>
<li>Evaluate trends in the market and work with data teams to analyze claims and model savings for clinical programs for potential and active clients.</li>
</ul>
<p><b>What you will bring to SmithRx:</b></p>
<ul>
<li>Bachelor's and Advanced Degree in Pharmacy, RPh or PharmD</li>
<li>Current and unrestricted Pharmacist license (any state)</li>
<li>3+ years of experience working as a licensed pharmacist in managed care or a managed care residency required</li>
<li>Professional verbal and written communication (including developing &amp; delivering formal presentations) and interpersonal skills required</li>
<li>Self-driven, results-oriented work ethic with a positive outlook</li>
<li>Ability to take initiative unprompted</li>
<li>Strong project management skills and ability to coordinate/prioritize multiple projects simultaneously to ensure all deadlines are met</li>
<li>Ability to collaborate constructively and positively with teammates and partners, even under the stress of a fast-paced business environment</li>
<li>Travel up to 10%</li>
</ul>
<p><b>What SmithRx Offers You:</b></p>
<ul>
<li>Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&amp;D Insurance</li>
<li>Flexible Spending Benefits</li>
<li>401(k) Retirement Savings Program</li>
<li>Short-term and long-term disability</li>
<li>Discretionary Paid Time Off</li>
<li>Paid Company Holidays</li>
<li>Wellness Benefits</li>
<li>Commuter Benefits</li>
<li>Paid Parental Leave benefits</li>
<li>Employee Assistance Program (EAP)</li>
<li>Well-stocked kitchen in office locations</li>
<li>Professional development and training opportunities</li></ul></div>

Clinical Strategy Pharmacist

Henry Ford Health

<div><div><p>Join Henry Ford Health as a Pharmacy Compliance Packaging Coordinator an opportunity to step into a leadership focused Pharmacist role that makes an impact. This role will be floating between our Troy and Detroit location.</p><p><b>
GENERAL SUMMARY:</b></p><p>
The Coordinator Pharmacist for Centralized Compliance Packaging reports to the Manager or Director of Centralized Compliance Packaging and supports daily operational oversight across clinical and production sites. This role performs delegated system and operational tasks and provides continuity of leadership in the absence of management.</p><p><b>
PRINCPLE DUTIES &amp; RESPONSBILITIES:</b></p><ul><li>
The Coordinator Pharmacist ensures effective communication, workflow coordination, and safe, compliant operations between remote clinical services and onsite production teams. This position supports safety, productivity, scheduling, and adherence to policies and workflows</li><li>
Perform delegated operational, system, and workflow tasks on behalf of management and provide leadership coverage in the absence of the Manager or Director</li><li>
Oversee and ensure effective communication and coordination between the clinical department and the centralized production site</li><li>
Assist with pharmacist scheduling, rotation planning, and coordination with technician supervisors to ensure adequate staffing and coverage</li><li>
Support daily operations by identifying and addressing system‑related issues, workflow barriers, and operational challenges</li><li>
Facilitate and participate in clinical and production team huddles to promote safety, productivity, and operational alignment</li><li>
Assist the Manager or Director with credentialing processes, policy adherence, workflow implementation, and continuous operational improvement</li><li>
The Coordinator Pharmacist performs both clinical and production pharmacist duties at all sites, including prescription, data, and compliance packaging verification</li></ul><p><i>
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.</i></p>
<div><p><b>EDUCATION/EXPERIENCE REQUIRED:</b></p><ul><li>
Must have two (2) years of community/retail Pharmacist experience.</li><li>
Prior work experience as a leader in a community/retail pharmacy environment preferred.</li><li>
Proficiency in oral and written communication skills enabling him/her to contribute effectively in the dissemination of drug information to all levels of health personnel in the system.</li><li>
Must demonstrate knowledge of managed care and progressive pharmacy practice.</li><li>
Must demonstrate the ability to work effectively with others in providing services for patients.</li><li>
He/she must possess an understanding of the pathophysiology and pharmacotherapy of disease states and have the application skills needed to permit proper integration of these in monitoring drug therapy.</li><li>
Computer literacy and knowledge of pharmacy computer order entry systems.</li><li>
Must have a previous work history of reliability, dependability, and a willingness to assume additional responsibility.</li><li>
Must demonstrate leadership ability in working with and coordinating activities of others in developing improved operational and clinical services.</li><li>
Exemplary oral and written communication skills as evidenced by prior examples of effective implementation of strategies with a variety of system personnel and patients.</li><li>
Ability to lead work groups effectively.</li></ul><p><b>
CERTIFICATIONS/LICENSURES REQUIRED:</b></p><ul><li>
Current Michigan licensure as a Registered Pharmacist.</li><li>
Michigan licensure as an Approved Preceptor preferred.</li></ul>
 </div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Additional Details</b></h4>
<div><p>
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.</p></div>
</div>
</div></div><div><div><div><h4 class="jobSectionHeader"><b>Overview</b></h4>
<div><p>
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services &ndash; from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford&rsquo;s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation&rsquo;s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.</p></div>
</div>
</div></div><div><div><div><h4 class="jobSectionHeader"><b>Benefits</b></h4><div><p><br>
</p><p>The health and overall well-being of our team members is our priority. That&rsquo;s why we offer support in the various components of our team&rsquo;s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
</p></div></div></div></div><div><div><div><h4 class="jobSectionHeader"><b>Equal Employment Opportunity/Affirmative Action Employer</b></h4>
<div><p>
 Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is</p>
<p>
 committed to the hiring, advancement and fair treatment of all individuals without regard to</p>
<p>
 race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,</p>
<p>
 weight, marital status, family status, gender identity, sexual orientation, and genetic information,</p>
<p>
 or any other protected status in accordance with applicable federal and state laws.</p></div></div></div></div></div></div>

Pharmacy Compliance Packaging Coordinator - CPSC Compliance Packaging - Full Time Rotating - Detroit/Troy

Brown University Health

<div><ul><li>Job ID: JR-109679
</li><li>Entity: Rhode Island Hospital
</li><li>Location Name: Rhode Island Hospital
</li><li>City, State: Providence, RI
</li><li>Work Type: FULL TIME
</li><li>Hours Per Week: 40
</li><li>Shift: Variable
</li><li>Posted Date: 5/8/2026
</li></ul><div><h2 class="jobSectionHeader"><b>SUMMARY</b></h2>
<p>
Reports to Manager, Pharmacy Operations, under the supervision of a Pharmacist and direction of the Medication History Pharmacy Technician Group Leader (RIH, TMH only), the Pharmacy Medication History Technician serves as a key and integral part of the progressive pharmacy-managed medication reconciliation practice model. Has primary responsibility to accurately obtain and compile current, detailed, and complete home medication history lists and allergies for patients to be admitted to the hospital. Uses all relevant sources to obtain the most current required information including, but not limited to, patient and family interviews, direct contact with outpatient pharmacies, extended care facilities, and provider offices. Accurately documents detailed and verified current home medication list, including relevant related information, in the electronic medical record (EMR). Reviews patient allergy information in EMR, updates as needed. Interacts effectively and compassionately with patients and families in manner. Interacts effectively and professionally with other health care providers at all levels including, but not limited to, providers, nurses, and ancillary support personnel. Participates in continuous quality improvement activities and functions in a manner that contributes to a highly effective multidisciplinary work group. Brown University Health employees are expected to successfully role model the organization's values of <b>Compassion</b>, <b>Accountability</b>, <b>Respect</b>, and <b>Excellence</b> as these values guide our everyday actions with patients, customers and one another.</p>
<p>
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:</p>
<ul>
<li>Instill Trust and Value Differences</li>
<li>Patient and Community Focus and Collaborate</li>
</ul><h2 class="jobSectionHeader"><b>RESPONSIBILITIES</b></h2>
<h3 class="jobSectionHeader"><b>PRINCIPAL DUTIES AND RESPONSIBILITIES:</b></h3>
<ul><li>Obtains and compiles current, detailed, and complete home medication history list. Medication history list shall include drug name, dose and dose form, frequency, and route of administration for prescription medications, over the counter drugs, and complementary and alternative medications currently taken by the patient.</li>
<li>Obtains and compiles patient allergy information including reaction experienced by the patient.</li>
<li>Uses all relevant sources to obtain the most current home medication history list and allergy information including, but not limited to, patient and family interviews, direct contact with patients&rsquo; outpatient pharmacies, extended care facilities, and provider offices.</li>
<li>Communicates home medication list discrepancies identified via the medication history process with the provider and/or pharmacist; hands off unresolvable medication history related issues; tracks follow-up to ensure closure.</li>
<li>Refers suspected actual, prevented, and near miss medication errors to a pharmacist for appropriate follow-up and reporting.</li>
<li>Serves as a resource to the pharmacist regarding home medication histories and other related information, provides follow-up as deemed appropriate by the pharmacist.</li>
<li>Documents detailed and verified current home medication list accurately, including relevant related information, if any, in the electronic medical record (EMR).</li>
<li>Ensures patient allergy information, including relevant related information, if any, is correctly documented in EMR, updates if needed.</li>
<li>Compiles medication history lists, verifies allergies, and documents in EMR in an efficient and timely manner with the highest level of accuracy.</li>
<li>Responds appropriately to providers, nurses and others who request a medication history. Manages, triages, and ensures follow-up in a timely manner.</li>
<li>Ensures high quality customer service is provided and displayed at each patient, family, outreach, and team interaction.</li>
<li>Exhibits a friendly, pleasant, compassionate and helpful nature demonstrating a strong customer service orientation when interacting with patients and their families.</li>
<li>Directs, triages, or communicates, to the appropriate provider or staff member, questions or inquiries received from the patient and their family which are outside the scope of the medication history technician.</li>
<li>Interacts effectively and professionally with other health care providers at all levels including, but not limited to, providers, nurses, and support personnel.</li>
<li>Participates in quality assurance activities for the pharmacy-managed medication reconciliation practice model.</li>
<li>Participates in quality assessment and improvement activities and medication safety initiatives as they relate to the pharmacy-managed medication reconciliation practice model.</li>
<li>Utilizes experience-based knowledge to identify opportunities for improvement related to quality, safety, regulatory, or financial outcomes.</li>
<li>Rotates to all applicable medication history work assignments and work shifts.</li>
<li>Acknowledges and demonstrates professionalism for self and others.</li>
</ul><h2 class="jobSectionHeader"><b>MINIMUM QUALIFICATIONS</b></h2>
<h3 class="jobSectionHeader"><b>EXPERIENCE &amp; BASIC KNOWLEDGE:</b></h3>
<ul><li>High school graduate or equivalent degree. Completion of one to two years of college preferred.</li>
<li>Maintains current unrestricted Rhode Island Pharmacy Technician licensure.</li>
<li>Holds and maintains current National Pharmacy Technician Certification (CPhT) or has a minimum of one-year licensed pharmacy technician work experience in an outpatient pharmacy setting, sits for National Pharmacy Technician Certification (CPhT) exam within first 6 months of hire, and achieves and maintains National Pharmacy Technician Certification (CPhT) within 12 months of hire.</li>
<li>Minimum one-year pharmacy technician experience in an outpatient pharmacy setting.</li>
<li>Strong customer service presence and verbal and written communication skills necessary to interact with patients, families, physicians, LIPs, RNs and ancillary support staff.</li>
<li>Strong focused and active listening skills including ability to listen attentively while blocking out distractions and to identify key points and ideas.</li>
<li>Must possess solid computer skills including Microsoft Office Suite, as well as email and calendar applications. Must be comfortable in using internet web applications and multiple pharmacy and system-wide applications.</li>
<li>Work is exact and requires the ability to pay attention to detail and to stay focused to avoid serious error in compiling and documenting home medication lists and verifying allergies.</li>
<li>Must be able to multi-task and reprioritize as needed, while maintaining the highest-level accuracy and customer service standards.</li>
</ul><h3 class="jobSectionHeader"><b>WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:</b></h3>
<ul><li>Medication history technician will be based in the Emergency Department or Admitting Department initially.</li>
<li>Work requires ability to stay focused in a fast paced ever changing environment.</li>
<li>Work may require extended periods of time spent standing and walking.</li>
<li>Work requires the visual acuity and manual dexterity necessary to operate a personal computer and input data into EMR using a typical keyboard and computer mouse to navigate screens on a computer monitor.</li>
<li>New hires into this position must successfully pass a drug screen in conformance with Rhode Island State Law.</li>
</ul><h3 class="jobSectionHeader"><b>INDEPENDENT ACTION:</b></h3>
<ul><li>Performs independently within department policies and practices.</li>
<li>Refers specific complex problems to supervisor where clarification of departmental policies and procedures may be required.</li>
</ul><h3 class="jobSectionHeader"><b>SUPERVISORY RESPONSIBILITY:</b></h3>
<ul><li>None.</li>
</ul><h2 class="jobSectionHeader"><b>Pay Range</b></h2>
<p>
$25.89-$26.42</p>
<h2 class="jobSectionHeader"><b>
Location</b></h2>
<p>
Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903</p>
<h2 class="jobSectionHeader"><b>
Work Type</b></h2>
<p>
Rotating day and evening shifts. Includes weekdays, weekends, and holidays.</p>
<h2 class="jobSectionHeader"><b>
Work Shift</b></h2>
<p>
Variable</p>
<h2 class="jobSectionHeader"><b>
Driving Required</b></h2>
<p>
No</p>
<h2 class="jobSectionHeader"><b>
Union</b></h2>
<p>
International Brotherhood Teamsters</p>
<p><i>
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.</i></p></div></div>

Medication History Technician Specialist

<div><ul><li>Job ID: JR-107860
</li><li>Entity: Rhode Island Hospital
</li><li>Location Name: Rhode Island Hospital
</li><li>City, State: Providence, RI
</li><li>Work Type: PER DIEM
</li><li>Hours Per Week: Variable
</li><li>Shift: Variable
</li><li>Posted Date: 4/7/2026
</li></ul><div><h2 class="jobSectionHeader"><b>SUMMARY</b></h2>
<p>
Reports to Manager, Pharmacy Operations, under the supervision of a pharmacist and direction of the Medication History Pharmacy Technician Supervisor, the Pharmacy Medication History Technician Specialist, Remote serves as a key and integral part of the progressive pharmacy-managed medication reconciliation practice model. Is responsible for remote services which includes accurately obtaining and compiling current, detailed, and complete home medication history lists and allergies for patients to be admitted to the hospital. Uses all relevant sources to obtain the most current required information including, but not limited to, patient and family interviews, direct contact with outpatient pharmacies, extended care facilities, and provider offices. Accurately documents detailed and verified current home medication list, including relevant related information, in the electronic medical record (EMR). Reviews patient allergy information in EMR, updates as needed. Interacts effectively and compassionately with patients and families. Interacts effectively and professionally with other health care providers at all levels including, but not limited to, providers, nurses, and ancillary support personnel. Participates in continuous quality improvement activities and functions in a manner that contributes to a highly effective multidisciplinary work group.</p>
<h2 class="jobSectionHeader"><b>
RESPONSIBILITIES</b></h2>
<ul><li>Establishes and maintains compliance with Brown University Health&rsquo;s Flexible Work Arrangements Guidelines and Forms.</li>
<li>Receives remote notifications of medication reconciliation that need to be completed.</li>
<li>Obtains and compiles current, detailed, and complete home medication history list. Medication history list shall include drug name, dose and dose form, frequency, and route of administration for prescription medications, over the counter drugs, and complementary and alternative medications currently taken by the patient.</li>
<li>Obtains and compiles patient allergy information including reaction experienced by the patient.</li>
<li>Uses all relevant sources to obtain the most current home medication history list and allergy information including, but not limited to, patient and family interviews, direct contact with patients&rsquo; outpatient pharmacies, extended care facilities, and provider offices.</li>
<li>Communicates home medication list discrepancies identified via the medication history process with the provider and/or pharmacist; hands off unresolvable medication history related issues; tracks follow-up to ensure closure.</li>
<li>Refers suspected actual, prevented, and near miss medication errors to a pharmacist for appropriate follow-up and reporting.</li>
<li>Serves as a resource to the pharmacist regarding home medication histories and other related information, provides follow-up as deemed appropriate by the pharmacist.</li>
<li>Documents detailed and verified current home medication list accurately, including relevant related information, if any, in the electronic medical record (EMR).</li>
<li>Ensures patient allergy information, including relevant related information, if any, is correctly documented in EMR, updates if needed.</li>
<li>Compiles medication history lists, verifies allergies, and documents in EMR in an efficient and timely manner with the highest level of accuracy.</li>
<li>Responds appropriately to providers, nurses and others who request a medication history. Manages, triages, and ensures follow-up in a timely manner.</li>
<li>Ensures high quality customer service is provided and displayed at each patient, family, outreach, and team interaction.</li>
<li>Exhibits a friendly, pleasant, compassionate, and helpful nature demonstrating a strong customer service orientation when interacting with patients and their families.</li>
<li>Directs, triages, or communicates, to the appropriate provider or staff member, questions or inquiries received from the patient and their family which are outside the scope of the medication history technician.</li>
<li>Interacts effectively and professionally with other health care providers at all levels including, but not limited to, providers, nurses, and support personnel.</li>
<li>Participates in quality assurance activities for the pharmacy-managed medication reconciliation practice model.</li>
<li>Participates in quality assessment and improvement activities and medication safety initiatives as they relate to the pharmacy-managed medication reconciliation practice model.</li>
<li>Utilizes experience-based knowledge to identify opportunities for improvement related to quality, safety, regulatory, or financial outcomes.</li>
<li>Rotates to all applicable medication history work assignments and work shifts.</li>
<li>Acknowledges and demonstrates professionalism for self and others.</li>
</ul><h2 class="jobSectionHeader"><b>MINIMUM QUALIFICATIONS</b></h2>
<ul><li>High school graduate or equivalent degree. Completion of one to two years of college preferred.</li>
<li>Maintains current unrestricted Rhode Island Pharmacy Technician licensure.</li>
<li>Holds and maintains current National Pharmacy Technician Certification (CPhT) or has a minimum of one-year licensed pharmacy technician work experience in an outpatient pharmacy setting, sits for National Pharmacy Technician Certification (CPhT) exam within first 6 months of hire, and achieves and maintains National Pharmacy Technician Certification (CPhT) within 12 months of hire. Applies for and obtains a Rhode Island Tech II license immediately after notification of successful CPhT certification.</li>
<li>Minimum one-year pharmacy technician experience in an outpatient pharmacy setting.</li>
<li>Strong customer service presence and verbal and written communication skills necessary to interact with patients, families, physicians/practitioners, nursing, and ancillary support staff.</li>
<li>Strong focused and active listening skills including ability to listen attentively while blocking out distractions and to identify key points and ideas.</li>
<li>Must possess solid computer skills including Microsoft Office Suite, as well as email and calendar applications. Must be comfortable in using internet web applications and multiple pharmacy and system-wide applications.</li>
<li>Work is exact and requires the ability to pay attention to detail and to stay focused to avoid serious error in compiling and documenting home medication lists and verifying allergies.</li>
<li>Must be able to multi-task and reprioritize as needed, while maintaining the highest-level accuracy and customer service standards.</li>
</ul><h2 class="jobSectionHeader"><b>WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS</b></h2>
<ul><li>Employee will be responsible to establish a secure workspace environment to protect the confidentiality of sensitive information. Sensitive information includes confidential information, protected health information (PHI), and protected identifiable information (PII).</li>
<li>Employee will be responsible for costs associated with setting up, furnishing, and managing their remote employee workspace and for costs of maintaining appropriate internet connectivity to access Brown University Health Information Services resources.</li>
<li>Work may require extended periods of time spent sitting.</li>
<li>Work requires the visual acuity and manual dexterity necessary to operate a computer and input data into EMR using a typical keyboard and computer mouse to navigate screens on a computer monitor.</li>
<li>New hires into this position must successfully pass a drug screen in conformance with Rhode Island State Law.</li>
</ul><h2 class="jobSectionHeader"><b>INDEPENDENT ACTION</b></h2>
<p>
Performs independently within department policies and practices. Refers specific complex problems to supervisor where clarification of departmental policies and procedures may be required.</p>
<h2 class="jobSectionHeader"><b>
Pay Range</b></h2>
<p>
$19.97-$32.96</p>
<h2 class="jobSectionHeader"><b>
Location</b></h2>
<p>
Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903</p>
<h2 class="jobSectionHeader"><b>
Work Type</b></h2>
<p>
Rotating day and evening shifts. Includes weekdays, weekends, and holidays.</p>
<h2 class="jobSectionHeader"><b>
Work Shift</b></h2>
<p>
Variable</p>
<h2 class="jobSectionHeader"><b>
Daily Hours</b></h2>
<p>
Per Diem - As required</p>
<h2 class="jobSectionHeader"><b>
Driving Required</b></h2>
<p>
No</p>
<p><i>
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.</i></p></div></div>

Medication History Technician Specialist, Remote

GEHA Health

<div>
 <p>
  Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care.
 </p>
 <p>
  <br/>
 </p>
 <p>
  G.E.H.A has one mission: To empower federal workers to be healthy and well.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  The Utilization Management and Oversight Pharmacist will assist with corporate strategy to achieve better healthcare value and lower cost for our members, while ensuring quality pharmaceutical care for our members, in an effort to make our insurance product more competitive and support growth.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The Utilization Management and Oversight Pharmacist widely supports the operation of the pharmacy benefit and its functional teams. The position will be responsible for the following:
 </p>
 <p>
  &bull; Insuring proper medication utilization among our membership
 </p>
 <p>
  &bull; Developing and maintaining customized prior authorization criteria
 </p>
 <p>
  &bull; Developing and maintaining custom benefit exclusions
 </p>
 <p>
  &bull; Completing enterprise-wide drug information requests
 </p>
 <p>
  &bull; Preparing pharmacy recommendations for the pharmacy leadership
 </p>
 <p>
  &bull; Proposing and implementing pharmacy benefit design changes
 </p>
 <p>
  &bull; Increasing member outcomes by collaborating with other departments within the enterprise
 </p>
 <p>
  &bull; Supporting utilization review strategies and risk management related to the utilization of pharmaceuticals
 </p>
 <p>
  &bull; Collaborating with staff responsible for day-to-day activities of the Pharmacy Department
 </p>
 <p>
  &bull; Coordinating with other departments within the organization (ie: Care Management, SIU, Product, Marketing) to support strategic and operational objectives of the Pharmacy Department.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <u>
    SKILLS
   </u>
  </strong>
 </p>
 <p>
  <strong>
   <u>
    SKILLS
   </u>
  </strong>
 </p>
 <p>
  <strong>
   Clinical Pharmacist; Utilization Management and Oversight
  </strong>
 </p>
 <p>
  Duties and Responsibilities
 </p>
 <ul>
  <li>
   Responsible for day-to-day management of clinical pharmacy needs within the department including controlled substance monitoring, high risk member monitoring, high dollar claim monitoring and customized prior authorization criteria and exclusion management
  </li>
  <li>
   Collaborates with plan level associates (including Pharmacy Vice President and Managers, Care Management, Medical Directors, Quality Management and others as necessary) to identify members requiring clinical pharmacy intervention(s)
  </li>
  <li>
   Independently completes accurate and comprehensive medication reviews and performs the corresponding member, care management, and other outreach as necessary
  </li>
  <li>
   Researches and synthesizes detailed clinical data related to pharmaceuticals to identify opportunities for improving quality or overall cost
  </li>
  <li>
   Serves as pharmacy SME on projects and clinical care activities; supports internal business partners such as Product Development, Care and Case Managers, Special Investigations, and Medical Operations
  </li>
  <li>
   Leads, manages and/or supports medical cost management, utilization management and medication management initiatives, projects and related activities
  </li>
  <li>
   Assists in pharmacy medication exception reviews coming in from multiple sources including OPM, PBM, GEHA Executive Leadership, GEHA Appeals Department, etc.
  </li>
  <li>
   Assists member-facing pharmacy staff by providing medication therapy evaluations, recommendations and next steps for members and providers
  </li>
  <li>
   Works in partnership with the Vice President and Clinical Manager of Pharmacy to plan, implement and maintain clinical programs and services
  </li>
  <li>
   Serves as clinical pharmacy resource and drug information specialist to medical, pharmacy, nursing and SIU staff
  </li>
  <li>
   Reviews medical policy drafts and provides recommendations for change to medical policy staff
  </li>
  <li>
   Assists member-facing pharmacy staff in assembling responses for prescriber/member appeals, grievances, disputes, inquiries and reconsiderations within established time periods
  </li>
  <li>
   Supports clinical quality and corporate HEDIS measures by providing pharmacy perspective and developing strategies to achieve goals
  </li>
  <li>
   Serves on internal committees and/or workgroups and completes special projects as assigned
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Job Qualifications
 </p>
 <p>
  <em>
   Education
  </em>
 </p>
 <ul>
  <li>
   Doctor of Pharmacy (PharmD) degree from an ACPE-accredited School of Pharmacy
  </li>
  <li>
   Postgraduate training/residency required
  </li>
 </ul>
 <p>
  <em>
   Experience
  </em>
 </p>
 <ul>
  <li>
   Candidate must be licensed, or eligible for licensure, within the state of Missouri
  </li>
  <li>
   Candidate must have 5 years of experience, or completion of a PGY-1/PGY-2 residency with a managed care and/or drug information focus preferred
  </li>
  <li>
   Experience should include managed care
  </li>
  <li>
   Minimum three (3) years of managed care experience that has involved interaction with patients, providers and other healthcare professionals
  </li>
  <li>
   Knowledge of managed care pharmacy principles including medical exception reviews, formulary management, and utilization review required
  </li>
  <li>
   Candidate should possess an extensive understanding of evidence-based pharmacy practice, including disease specific therapies along with knowledge and ability to search medical literature for supporting clinical references
  </li>
 </ul>
 <p>
  <em>
   Skills/Certifications
  </em>
 </p>
 <ul>
  <li>
   Must contribute to the One Team value of GEHA, be organized and have the ability to handle multiple projects
  </li>
  <li>
   Exemplary interpersonal, communication and organizational skills
  </li>
  <li>
   Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability
  </li>
  <li>
   Proficient in Microsoft Office (Outlook, Word, Excel, Vizio and PowerPoint)
  </li>
  <li>
   Solid understanding of government scope (FEHB, OPM, FDA, ACA, USPSTF) required
  </li>
  <li>
   Competency in compendia navigation and research
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Work-at-home requirements
 </p>
 <ul>
  <li>
   Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
  </li>
  <li>
   A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
  </li>
  <li>
   Latency (ping) response time lower than 80 ms
  </li>
  <li>
   Hotspots, satellite and wireless internet service is NOT allowed for this role.
  </li>
  <li>
   A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  How we value you
 </p>
 <ul>
  <li>
   Competitive pay/salary ranges
  </li>
  <li>
   Incentive plan
  </li>
  <li>
   Health/Vision/Dental benefits effective day one
  </li>
  <li>
   401(k) retirement plan: company match &ndash; dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
  </li>
  <li>
   Robust employee well-being program
  </li>
  <li>
   Paid Time Off
  </li>
  <li>
   Personal Community Enrichment Time
  </li>
  <li>
   Company-provided Basic Life and AD&amp;D
  </li>
  <li>
   Company-provided Short-Term &amp; Long-Term Disability
  </li>
  <li>
   Tuition Assistance Program
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.
 </p>
 <p>
  <br/>
 </p>
 <p>
  Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate&rsquo;s work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The hiring range for this position is $118,092 - $149,394 USD. At G.E.H.A, the current maximum salary for this role is $166,468 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization.
 </p>
 <p>
  <br/>
 </p>
 <p>
  G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees.
 </p>
 <p>
  <br/>
 </p>
 <p>
  G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.
 </p>
</div>


Clinical Pharmacist, Utilization Management and Oversight

NorthBay Health

<div><p>Under the supervision of Pharmacy manager and oversight by the Staff Pharmacists, performs entry level technician functions and assists with drug dispensing and record keeping. Maintains pharmacy inventory levels and integrity both within and outside the pharmacy.
</p><p><b>PRIMARY JOB DUTIES
</b></p><ul><li><p>Prepares and labels oral, injectable and other medications for patients, under supervision and verification by a pharmacist according to departmental policies and procedures.
</p></li><li><p>Under the supervision of a Pharmacist, reconstitutes additives, calculates volumes, and mixes IV solutions, nutritional products, according to departmental procedures using aseptic technique.
</p></li><li><p>Answers telephone calls from patient care areas about dispensing issues, IV's and general order clarification issues. Refers all clinical and pharmacologic questions to the pharmacist.
</p></li><li><p>Prepares unit-dose packages of both solid and injectable preparations from bulk stock.
</p></li><li><p>Performs IV rounds to monitor for utilization of solutions with additives.
 </p></li><li><p>Prepares IV labels and initiates and maintains IV additive profiles on all patients receiving medication solutions.
</p></li><li><p>Credits returned and unused medication to patient's profiles in the computer.
 </p></li><li><p>Restocks and maintains inventory levels in immediate working areas.
</p></li><li><p>Performs ADM activities including running of reports, restocking and billing.
 </p></li><li><p>Performs other duties as assigned.</p></li></ul></div>
<br><div><p><b>Education:
</b></p><ul><li><p>High school graduate preferred.
</p></li><li><p>Completion of pharmacy technologist training program.
</p></li></ul><p><b>Licensure:
</b></p><ul><li><p>Registration as Pharmacy technician or Intern Pharmacist with the California State Board of Pharmacy is required.
</p></li></ul><p><b>Experience:
</b></p><ul><li><p>Prior experience in hospital practice not required. Knowledge of the laws involved in hospital pharmacy practice.
</p></li></ul><p><b>Skills:
</b></p><ul><li><p>Excellent verbal and written communication skills.
</p></li><li><p>Must demonstrate competency in basic pharmaceutical calculations.
</p></li><li><p>Ability to type 25 wpm and have previous computer experience.</p></li></ul></div>
<br><div><p><b>Interpersonal Skills and Values
</b></p><p>Demonstrates NorthBay Health&rsquo;s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.
</p><p><b>Why NorthBay Health
</b></p><p>NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.
</p><p>We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.
</p><p>We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.
</p><p><b>NorthBay Health Benefits Options
</b></p><p>NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.
</p><p><b>Compensation Structure
</b></p><p>NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1&ndash;5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.
</p><p><b>Remote Work Disclosure
</b></p><p>NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.
</p><p>Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.
</p><p><b>Notice to Recruitment Agencies
</b></p><p>NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.
</p><p><b>More Information
</b></p><p>Visit NorthBay Health Careers for recruitment FAQs and additional information.</p></div>

Pharmacy Technician I - NBMC (Per Diem, Variable)

Molina Healthcare

<p>Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. Candidates must be licensed to practice in the state of Florida or be able to obtain Florida licensure within 90 days of starting. This position is remote and can be worked from a variety of locations within the US.<br/></p><p>Shift times can be either 8 or 10 hour shifts between the times of 7a and 10p EST with rotating weekends <b>depending on business needs.</b><br/></p><p>Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics regarding patient outcomes, medications safety and medication use policies).<br/></p><p><b>KNOWLEDGE/SKILLS/ABILITIES</b><br/></p><p>The Pharmacist, UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate manner. The Pharmacist, UM will also be responsible for serving as a formulary and drug information resource, assisting technicians and other departments with questions regarding drug coverage.<br/></p><ul><li>Acts as a liaison between Molina and its customers (members, providers and pharmacies) with respect to the pharmacy benefit.</li><li>Serves as the formulary expert.</li><li>Ensures Molina is compliant with the coverage determination and appeals process.</li><li>Contributes to projects aimed at improving Star ratings, HEDIS, CAHPS, and other quality metrics.</li><li>Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or members.</li><li>Develops, implements and maintains pharmacy cost control and quality initiatives under the direction of leadership.</li><li>Monitors drug utilization and assists leadership team in understanding quality and cost control issues related to pharmacy.</li><li>Works in tandem with Molina Medical Directors to ensure accurate coverage determination decisions.</li><li>Works with leadership on developing annual training sessions for applicable staff regarding the pharmacy benefit changes for the upcoming year.</li><li>Works with the Case Management department as part of a member-centered interdisciplinary care team.</li><li>Works with the PBM to manage formulary changes and update marketing on any changes needed on the web or print versions of the formulary.</li><li>Performs outreach to patients and physicians as part of quality and/or cost control initiatives.</li><li>Provides leadership for the pharmacy call center team as delegated by the Manager.</li><li>Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization, and adherence.</li></ul><p><b>JOB QUALIFICATIONS</b><br/></p><p><b>Required Education</b><br/></p><ul><li>Doctor of Pharmacy or bachelor&rsquo;s degree in pharmacy with equivalent experience.</li><li>Continuing education required to maintain an active pharmacist license.</li></ul><p><b>Required Experience: </b>1 - 2 years post-graduate experience.<br/></p><p><b>Required License, Certification, Association: </b>Active and unrestricted State Pharmacy License for workplace and plan location.<br/></p><p><b>Preferred Experience</b><br/></p><ul><li>Medicare Part D or Medicaid experience.</li><li>Managed care experience.</li></ul><p>To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.<br/></p><p>Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.<br/></p><p>#PJPharm2<br/></p><p>#LI-AC1<br/></p><p>Pay Range: $80,412 - $156,803.45 / ANNUAL<br/>*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.<br/></p>

Pharmacist, Prior Auth/Utilization Management, Remote

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