Clinical Pharmacist – Aetna Better Health of Louisiana

Job Description
The mission of Aetna Better Health of LA (ABHLA) is to build a healthier world through better health, better care, and lower costs. We have embraced the quintuple aim as our guiding framework that integrates population health, equity, cost reduction, patient experience, and care team wellbeing into everything we do. We are leading the change by challenging the status quo with new technologies, VBP models, innovation, and integration of behavioral and physical health; and attracting and inspiring our local team by unlocking the power of our people to transform health care.

This is a full-time remote opportunity, with the idea candidate residing within the state of Louisiana. The Clinical Pharmacist is a member of the Pharmacy Medication Management Team (PMMT), a group of clinical pharmacists and pharmacy technicians within the Aetna Medicaid. This position is tasked with support of team clinical pharmacists and for coordinating and administering programs to promote the appropriate use of medications by members and providers.

Fundamental Job Components:
• Responsible for leading pharmacy-based clinical initiatives and supporting the work of clinical care teams serving high risk Medicaid members to improve medication utilization and member outcomes.
• 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.
• Work closely with team of PMMP pharmacists, pharmacy technicians, and PMMP data analyst to continually improve processes and maximize positive impact on member care.
• Assist in the development of member and provider facing tools, resources, and educational outreach material.
• Independently complete accurate and comprehensive medication reviews and perform the corresponding member, care manager, and provider outreach as necessary.
• Be comfortable referencing multiple electronic database systems to identify member information related to clinical concerns and document interventions.
• Serve as the medication expert for health plan clinical care activities.
• Perform drug information and research for evidence-based program solutions.
• Prepare properly researched, cited/referenced clinical materials in support of programs, members, providers, and business partners.
• Sedentary work involving significant periods of sitting, talking, hearing and keying. Work requires visual acuity to perform close inspection of written and computer-generated documents as well as a PC monitor.

Pay Range
The typical pay range for this role is:
Minimum: 82,000
Maximum: 176,800

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
• A current, unrestricted clinical license(s) to practice as a Pharmacist is required.
• 3 years' clinical pharmacy experience or equivalent is required.
• 3 years' experience in managed care with in-depth knowledge of managed care / managed pharmacy environment is required
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook, Internet Explorer).
• Ability to work independently.
• Effective communication skills (verbal and written).
• Strong customer service skills including attention to details, sensitivity to member issues, proactive identification, and resolution of issues to promote positive outcomes for members.
• Ability to effectively participate in a multi-disciplinary team including internal and external participants.
• Self-starter.

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
• Experience with HEDIS measures and NCQA.
• Experience in managed Medicaid health plans.
• Teaching certificate preferred.
• Ideal candidate would reside in Louisiana.

Education
• A current, unrestricted clinical license(s) to practice Pharmacy is required.
• Degree in Pharmacy; Business degree a plus.

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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A workplace that supports diversity, inclusion and belonging.

CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We comply with the laws and regulations set forth in the following: EEO is Law (PDF) and the EEO is Law Supplement (PDF). To review the CVS Health Affirmative Action and Equal Employment Opportunity Policy Statement, click here. Our Pay Transparency statement is available here: Pay Transparency Nondiscrimination Provision We only accept applications for employment via this site. We provide reasonable accommodations to individuals with disabilities as needed. To request an accommodation – including a qualified interpreter, written information in other formats, translation or other services – email [email protected] or call 877-805-9511. If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution. If technical issues are preventing you from applying, contact Kenexa Helpdesk at 1-833-458-0870 or [email protected]. For technical issues with the Virtual Job Tryout, contact the Modern Hire Help Desk at 1-877-451-1695 or [email protected].