Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Ambulatory Care Clinical Coordinator Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Senior Manager, Pharmacy or Pharmacy Clinical Supervisor Department Pharmacy Requisition 24825 Pay & Benefits Estimated hiring range $148,970 - $182,070 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote position, but you must reside in one of the listed 9 states. Job Summary The Ambulatory Care Clinical Coordinator (pharmacist) is responsible for providing oversight of an assigned area (i.e., Care Coordination or Network Liaison). The pharmacist needs to demonstrate consistent application of knowledge and skills related to pharmacy benefits, quality measures, and other initiatives in order to communicate, partner, and deliver appropriate, safe, efficient, and cost-effective patient care as part of a multidisciplinary team. Responsibilities include supporting the patient-centered medical home, incorporating principles of population-based medicine, expanding and coordinating the expansion of pharmaceutical care services to patients across the health-system through primary care clinics, community pharmacies, or other designated environments. Care Coordination: This position is responsible for coordinating effective use of the pharmacy benefit by delivering clinical and educational interventions designed to improve pharmaceutical care. Network Liaison: This position is responsible for aligning the clinical pharmacist network with CareOregon strategic goals and aiding the advancement of the practice of clinical pharmacy. Essential Responsibilities + Develop and conduct quality improvement programs related to the pharmacy program. + Develop and implement clinical educational programs to improve drug utilization and quality. + Develop and conduct educational initiatives to improve prescribing patterns for quality and/or cost opportunities to support sustainable cost trends with the highest quality. + Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives. + Develop and conduct retrospective drug use reviews. + Leading the design, development, and implementation of quality improvement initiatives related to the pharmacy program will be an important aspect of this position. + Review medication prior authorization requests and appeals as assigned. + Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others as applicable. + Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee and other pharmacy program activities as assigned. + Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit. + Consult with clinicians and pharmacists to resolve pharmacy benefit issues. + Precept pharmacy students and residents. Care Coordination + Critically evaluate drug therapy regimens for patients enrolled in the care coordination program and assist with developing treatment plans. + Provide medication therapy management (MTM) services. + Utilize technology platforms to document and to meet MTM objectives. + Monitor MTM objectives and high-risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight. + Perform medication reviews and other tasks as assigned to meet plan quality metrics. Organizational Responsibilities + Perform work in alignment with the organization’s mission, vision and values. + Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. + Strive to meet annual business goals in support of the organization’s strategic goals. + Adhere to the organization’s policies, procedures and other relevant compliance needs. + Perform other duties as needed. Experience and/or Education Required + Minimum Graduate of an accredited pharmacy program + Current (or eligible) unrestricted licensure as a pharmacist in the state of Oregon + Advanced pharmacy training (PharmD, residency, fellowship, board certification or master’s degree in related discipline) + Practical experience with minimum 2 years as a clinical pharmacist in pharmaceutical care management in an ambulatory care or other clinical setting (which can include residency experience) Preferred + Previous experience in managed care and project management + PGY1 residency training Knowledge, Skills and Abilities Required Knowledge + Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization + Must have comprehensive, clinical pharmaceutical knowledge base Skills and Abilities + Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine + Ability to design and review pharmacy claims analysis/reports according to specific project requirements + Must be highly motivated and have the ability to work independently + Excellent organizational, project management, and time-management skills + Excellent written and verbal communication skills + Excellent customer service skills + Ability to work with diverse groups + Ability to manage multiple tasks + Ability to negotiate, problem-solve, and consensus-build + Basic word processing, spreadsheet, and database skills + Propose and implement process improvements + Meet deadlines for completion of workload + Maintain agreed upon work schedule + Demonstrate cooperation and teamwork + Provide cross-training on specific job responsibilities + Meet identified business goals that contribute to departmental goals + Follow established departmental policies and procedures + Perform other duties and projects as assigned + Ability to work effectively with diverse individuals and groups + Ability to learn, focus, understand, and evaluate information and determine appropriate actions + Ability to accept direction and feedback, as well as tolerate and manage stress + Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day + Ability to hear and speak clearly for at least 3-6 hours/day + Ability to lift, carry, push, pull and/or pinch small objects for at least 1-3 hours/day Working Conditions Work Enviornment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used Work Location: Work from home #MULTI Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.