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Clinical Pharmacy Advisor

Primary Location: Louisville, KY
Additional Locations: KY-Louisville
The clinical pharmacy advisor supports a new and innovative member centric clinical care program for Aetna Medicaid, the Pharmacy Medication Management Program. The Pharmacy Medication Management Program (PMMP) integrates clinical pharmacists with the local Medicaid health plan clinical care team to improve medication utilization and member outcomes. The PMMP clinical pharmacist is responsible for leading pharmacy-based clinical initiatives and supporting the work of clinical care teams serving high risk Medicaid members. The PMMP clinical pharmacist will be responsible for assisting in the development and implementation of Pharmacy Medication Management Programs as well as independently administering clinical pharmacy initiatives.

Onsite role in Louisville, KY and some travel to the surrounding area.

Schedule is standard business hours Monday-Friday.

Fundamental Components:
• Collaborate with health plan associates (including pharmacy director, care managers, medical directors, provider relations, quality management, and others as necessary) to identify high priority member and provider populations in order to perform clinical pharmacy interventions and improve member outcomes
• Review and evaluate pharmacy and medical claims data with plan associates to identify members and prescribers requiring clinical pharmacy interventions
• Assist in the development of member and provider facing tools, resources, and educational outreach material
• Perform targeted Academic Detailing interventions with external providers to encourage the appropriate prescribing of medications
• Serve as the health plan PMMP brand ambassador to drive engagement and utilization of the available programs
• Independently complete accurate and comprehensive medication reviews and perform the corresponding member, care manager, and provider outreach as necessary
• Serve as the medication expert for health plan clinical care activities

Background Experience:
In-depth knowledge and experience in managed care / managed pharmacy / competitive environment.
3 years clinical pharmacy experience or equivalent is required.
Understanding HEDIS and other quality programs and processes is preferred
Local travel is required
Proficiency in Microsoft Office Suite applications

Current unrestricted Pharmacist state of Kentucky active license required

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Pharmacy - Registered Pharmacist

Potential Telework Position:

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.


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