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Clinical Pharmacist, Medical Care At Home - Care Management

VNS Health
paid time off, tuition reimbursement
United States, New York, New York
220 East 42nd Street (Show on map)
Apr 30, 2025
OverviewProvides technical, analytic and clinical support related to the management of VNS Health Plans's pharmaceutical programs across all business lines. Resolves problems regarding Pharmacy Benefit Manager (PBM) clinical pharmaceutical services. Serves as a mentor for clinical pharmacists as a senior clinical pharmacy resource for clinical staff with medication management questions or pharmaceutical problems. Develops, implements, and oversees new clinical intervention programs, maintains department workflows. Project leads for applicable business areas. Works under minimal supervision and fosters interdepartmental and external vendor collaboration. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Oversees development and updates of internal workflows to improve efficiency and process for the department. Develops, implements, and has oversight of Behavioral Health medication management interventions. Leads clinical pharmacy projects and initiatives to improve medication use and patient outcomes, including supporting regulatory needs associated with the projects. Develops and analyzing pharmacy data reports to identify areas for improvement and implement quality initiatives Collaborates with internal and external healthcare teams or vendors to report on Pharmacy quality initiatives, including communication with physicians and other healthcare providers. Prepares pharmacy data reports and analysis that meets the planning, clinical, quality, and regulatory needs of the corporate entity and all lines of business, working with the Medical Management, Data Management, Finance Departments and clinical operations. Participates in the decision making process for Prior Authorization processes related to pharmacy claims. Responds to, researches and resolves any problems related to member complaints regarding Pharmacy Benefit Manager (PBM) clinical pharmaceutical services. Delivers pharmacy related education and training including new employee orientation. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: Licensed and registered in New York State to Practice as a Registered Pharmacist required Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs required Education: Doctorate in Pharmacy (PharmD) required Work Experience: Minimum of five years of Managed Care Pharmacy experience required Experience in a managed care and/or clinical care setting and geriatric pharmacy management, including experience in developing and providing professional and patient educational programs in pharmaceutical care required Experience in the use and analysis of pharmaceutical data and databases required Ability to use software and knowledge of Microsoft Word, Excel and Power Point required Compensation$109,900.00 - $146,500.00 Annual About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us-we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.