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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Clinical Pharmacy Advisor

Primary Location: Richmond, Virginia
Additional Locations: VA-Richmond
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Description:
POSITION SUMMARY
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 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.

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 and reporting with plan associates to identify members and prescribers requiring clinical pharmacy interventions

Assist in the development of PMMP tools, resources, and educational outreach material as necessary
Serve as the brand ambassador for the PMMP within the plan to drive health plan associate 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 (including Patient Utilization Management & Safety, Interdisciplinary rounds, DUR Board, and others as necessary)

Perform targeted Academic Detailing interventions with external providers to encourage the appropriate prescribing of medications

BACKGROUND/EXPERIENCE
In-depth knowledge and experience in managed care / managed pharmacy / competitive environment.

3 years clinical pharmacy/administrative experience or equivalent.

Current unrestricted VA Pharmacist state license required

Understanding HEDIS and other quality programs and processes is preferred

Local travel is required

EDUCATION
The highest level of education desired for candidates in this position is a Doctor of Pharmacy.

LICENSES AND CERTIFICATIONS
Pharmacy/Licensed Pharmacist is required

FUNCTIONAL EXPERIENCES
Functional - Clinical / Medical/Disease management/
Functional - Clinical / Medical/Quality management/
Functional - Clinical / Medical/Direct patient care (hospital, private practice)/

TECHNOLOGY EXPERIENCES
Technical - Operating Systems/Windows/4-6 Years/End User

TELEWORK SPECIFICATIONS:
Potential for part-time telework (ex: 3 days office-based, 2 days telework) after a certain period of employment

ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidates'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.


Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

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

Click To Review Our Benefits (PDF)

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