Population Health Clinical Pharmacist

Pharmacy careers are better at Banner Health. We are committed to developing the careers of our team members. We care about you, your career today and your future. If you’re looking to leverage your abilities – apply today. 

As a Population Health Clinical Pharmacist you serve as a member of the Population Health Medication Therapy Management (MTM) team, providing comprehensive medication management and medication adherence support for Banner Medicare Advantage and additional contracted Medicare Advantage populations.

You will perform Comprehensive Medication Reviews (CMRs) and other MTM interventions, evaluating the patient’s complete medication regimen to optimize therapeutic effectiveness, identify and resolve medication-related problems, prevent adverse events, and support achievement of individualized medication therapy goals.

Additional responsibilities include conducting medication adherence monitoring and outreach, identifying barriers to adherence, collaborating with patients and healthcare providers to address medication-related concerns, and documenting clinical interventions and outcomes. You are responsible for meeting established quality, productivity, CMR, and medication adherence goals and contributing to overall team and population health performance.

POSITION SUMMARY
This position supports all aspects of pharmacy services within the Banner Health Insurance Division, including utilization management, care management, and pharmacy quality responsibilities. This position drives optimal member experience, provider experience, and financial performance through assigned areas of work. Incumbents maintain a high degree of clinical acumen, and leverages strong organizational, communication, and execution skills to ensure the successful deployment of pharmacy benefits across all populations. This role is highly independent, and incumbents work across departments, and with internal and external stakeholders.

CORE FUNCTIONS
1. Provides management of pharmacy services to Insurance Division members, including commercial, Medicare, Medicaid populations within owned/operated health plans as well as value-based agreements. Identifies and stratifies members based on complex pharmaceutical care needs to optimize pharmacotherapy regimens at the patient/member level, and population level to improve overall healthcare quality and reduce costs that is consistent with acceptable standards of pharmacy practice and CMS Medicare Part D regulations and guidance. Analyzes and interprets pharmacy and medical claims reporting and other sources of clinical and economic data to generate insights and clinical service opportunities.

2. Active participant and/or leader in defining, implementing, and managing clinical programs and services that improve pharmaceutical care quality and lowers costs in all Insurance Division lines of business. Programs include but are not limited to, medication therapy management, pharmacy quality measure performance, utilization management, member outreach and engagement, provider education and detailing, drug utilization reviews, or formulary monograph development.

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