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[Remote] Clinical Pharmacist

Remote · New Zealand Full-time

Note: The job is a remote job and is open to candidates in USA. Quartz Health Solutions is committed to driving innovation in healthcare and is seeking a dedicated Clinical Pharmacist to impact patient care. The role involves developing and managing medication use policies, participating in operational aspects of managing benefits, and supervising Pharmacy Program specialists.

Responsibilities

  • Participate in the development, implementation, and measurement of clinical practice guidelines and quality programs, including drug-based (prescribing) guidelines, and disease-state-based guidelines
  • Conduct analysis of medications for Quartz Drug Formulary to include critical evaluation of drug literature and FDA data, consultation with experts, consensus building amongst practitioners, analysis of impact on relevant populations, consideration of utilization management tools available and incorporation of economic data
  • Participate in the development, implementation, maintenance and monitoring of initiatives to improve medication use by members, quality measures, and clinical outcomes
  • Confirm compliance of pharmacy benefit management activities with appropriate regulatory (state insurance regulators, CMS) and accreditation (NCQA) organizations
  • Evaluate medication exception requests for coverage of non-formulary or restricted medications and make decisions based on the patient’s clinical situation, relevant policies and the patient’s specific benefits
  • Lead the measurement/monitoring of internal and external quality metrics for medication use and related quality improvement initiatives as necessary

Skills

  • Completion of an ASHP Accredited Residency training program, advanced degree in related field (MS, MBA, etc.)
  • Bachelor's degree in pharmacy or a PharmD degree
  • 5+ years of pharmacy clinical patient care, managed care, pharmacy benefit management environment
  • 3+ years of institutional experience (hospital or integrated health system) or completion of an ASHP accredited residency training program
  • Ability to learn computer and application skills as applicable to role
  • Comfortably accepting responsibility for medium to large scale projects involving multiple resources and spanning many months from start to finish
  • Ability to interact and work around people, effective communication skills, and listen empathetically
  • Ability to react to frequent changes in duties and volume of work
  • Ability to make judgements in demanding situations
  • Ability to logically organize details
  • Licensed or eligible for licensure to practice pharmacy in the applicable state

Benefits

  • Rare pharmacist position that is primarily Monday – Friday during business hours with limited evening or weekend requirements.
  • Opportunity to impact healthcare outcomes and cost for large populations through policy and program development and implementation.
  • Quartz offers an excellent benefit and compensation package, opportunity for career advancement and a professional culture built upon the foundations of Respect, Responsibility, Relationships, and Resourcefulness.
  • All employment offers are contingent upon successful completion of a pre-employment criminal background check.

Company Overview

  • Quartz is a locally rooted, provider-owned health plan that connects coverage with care. It was founded in 2016, and is headquartered in Madison, Wisconsin, USA, with a workforce of 501-1000 employees. Its website is https://quartzbenefits.com/.
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