Description and Requirements The Pharmacy Department at Healthfirst manages the pharmacy benefit and drives initiatives to manage drug spend, reduce medical cost, and achieve top quality in medication related quality measures. The pharmacy team works in collaboration with the Pharmacy Benefit Manager as well as various divisions within and outside the organization to maintain a top-quality benefit at a reasonable cost. The Clinical Pharmacist is responsible for working closely with the pharmacy leadership team to support network providers including community pharmacies to improve quality and reduce pharmacy cost. This position will be provider facing and requires local travel throughout New York City and Long Island. Build relationships with community pharmacies and support them in various performance metrics including adherence and patient satisfaction.Establish positive, collaborative, and consultative relationships with network providers including community pharmacies, hospital and community providers and population health teams.Support and help implement comprehensive, provider-specific plans to increase quality ratings for pharmacy specific Part D Patient Safety and HEDIS measures.Effectively communicate with various healthcare professionals internally and externally for successful collaboration and implementation of initiatives.Act as a resource to provide pharmacist and provider education, best practices, and training related to pharmacy quality measures.Assist in the development and presentation of educational materials for providers and pharmacists.Provide ongoing strategic recommendations to decrease pharmacy costs and improve formulary compliance at pharmacy, provider, and hospital level.Communicate formulary changes and opportunities to achieve optimal prescribing through formulary compliance and optimizing generic dispensing.Participate in monthly or quarterly meetings as required, including material preparation and updates.Additional duties as assigned.
Minimum Qualifications:
Current, unrestricted license to practice pharmacy as a Registered Pharmacist (RPh)Strong oral, written and interpersonal communication skillsProficient in Microsoft Word, Outlook, PowerPoint, and ExcelAbility to travel (approx. 50%) throughout New York City and Long Island
Preferred Qualifications:
PharmD degree2+ years managed care pharmacy experience, residency experience, or 5+ years community pharmacy experienceMedicare Stars or HEDIS experienceProvider-facing experienceData analytics experience
Compliance & Regulatory Responsibilities:
Included in duties above
License/Certification:
Current, unrestricted license to practice pharmacy as a Registered Pharmacist (RPh)
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775
All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.