UPMC Health Plan
Pittsburgh or Pennsylvania
Senior Clinical Pharmacy Specialist (Remote)- Must be licensed in PA!
Job details
- Location
- Pittsburgh or Pennsylvania
- Work type
- Remote
- Compensation
- $107,078 - $181,709/yr
- Posted
- today
- Apply on
- upmcjobs.taleo.net
About this role
%3Cp style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:Arial;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px 0px 12px;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22background-color:rgb(255,255,255);color:rgb(0,0,0);font-family:Arial;font-size:13.02px;%22%3E%3Cspan style=%22-webkit-text-stroke-width:0px;display:inline !important;float:none;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cstrong%3EUPMC Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is a remote position working Monday through Friday daylight hours.%26nbsp;%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:Arial;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px 0px 12px;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22background-color:rgb(255,255,255);color:rgb(0,0,0);font-family:Arial;font-size:13.02px;%22%3E%3Cspan style=%22-webkit-text-stroke-width:0px;display:inline !important;float:none;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cstrong style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:Arial;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;letter-spacing:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3ERegistration as a registered pharmacist (RPh), in the Commonwealth of Pennsylvania or eligibility for licensure by examination or reciprocity is required.%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px 0px 12px;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3EThe Senior Clinical Pharmacist must demonstrate multiple years of being a consistent, high-performing team member as measured by both volume and quality of work performed. In addition to consistent, exceptional performance, the Senior Pharmacist must have already demonstrated their initiative and ability to work independently. This role will have completed several stretch projects as outlined by their manager. The stretch projects, in addition to all new projects, would then be the ongoing responsibility of the Senior Pharmacist to manage. This may include but is not limited to, training other staff, actively participating and contributing solutions in strategic discussions, assisting with internal and external audits, and creating and assisting with workflow improvement and efficiency initiatives. Additionally, the Senior Clinical Pharmacist will assist in finding new clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization, and other clinical programs. This role is responsible for the successful and satisfactory completion of additional projects that are beyond their day-to-day tasks.%3C/p%3E%3Cdiv class=%22block__cell block__field--wide-rich-text%22 style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(0, 0, 0);flex:0 1 100%;font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:10px 0px 0px;orphans:2;padding:0px 25px 0px 0px;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;width:941.898px;word-spacing:0px;%22 data-bind=%22css: %24component.getBlockCellCss(%24data, 0)%22%3E%3Cdiv class=%22block__field--wide-rich-text%22 style=%22flex-basis:100%;%22 data-bind=%22attr: {id: %24data.name + %27-container%27,%0A class:(%0A %24data.displayType === %27InputTextArea%27) ? %27block__field--full-width%27 : %0A (%24data.displayType === %27InputRichText%27 || %24data.name === %27descriptionExt%27 || %24data.name === %27qualificationExt%27 ||%0A %24data.name === %27descriptionInt%27 || %24data.name === %27qualificationInt%27) ? %27block__field--wide-rich-text%27 :%0A %27block__field--edit%27}%22 id=%22descriptionInt-container%22%3E%3Cdiv class=%22oj-form-control block__field-rtfValue %22 style=%22margin-bottom:5px;padding-bottom:5px;vertical-align:middle;%22 data-bind=%22attr: {id: %24data.name + %27-value%27, formFieldId: %24data.name},%0A html: %24component.getFieldValue(%24data)%22 id=%22descriptionInt-value%22 formfieldid=%22descriptionInt%22%3E%3Cp style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:Arial;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px 0px 12px;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cstrong%3EResponsibilities:%3C/strong%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:12px 0px;orphans:2;padding:0px 0px 0px 20px;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cli style=%22line-height:1.25;%22%3EThe Senior Clinical Pharmacist must demonstrate multiple years of being a consistent, high-performing team member as measured by both volume and quality of work performed. In addition to consistent, exceptional performance, the Senior Pharmacist must have already demonstrated their initiative and ability to work independently. This role will have completed several stretch projects as outlined by their manager. The stretch projects, in addition to all new projects, would then be the ongoing responsibility of the Senior Pharmacist to manage. This may include but is not limited to, training other staff, actively participating and contributing solutions in strategic discussions, assisting with internal and external audits, and creating and assisting with workflow improvement and efficiency initiatives. Additionally, the Senior Clinical Pharmacist will assist in finding new clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization, and other clinical programs. This role is responsible for the successful and satisfactory completion of additional projects that are beyond their day-to-day tasks.%26nbsp;%3C/li%3E%3Cli style=%22line-height:1.25;%22%3EThe Product Development Pharmacist is responsible for: Assisting with clinical management of the designated line of business (Commercial, Exchange, Medicare, Medicaid, Exchange, and/or CHIP) from a pharmacy formulary and operational perspective and for understanding and complying with rules and regulations affecting the business. Develop and revise various formularies for each line of business including sending communications, training of identified departments, updating all brochures, updating appropriate websites, and submitting change forms. Review new drugs promptly and submit change forms as appropriate. Research adequately and be properly prepared for all P%26amp;T Committee meetings, ensuring all recommendations for both new drugs and new policies are appropriate and have been discussed with subject matter experts. Present these assignments succinctly and at a suitable pace and answer relevant questions.%3C/li%3E%3Cli style=%22line-height:1.25;%22%3EProvide innovative ideas for new and existing clinical program development, utilization management, formulary management, provider education, and therapeutic substitution programs. Work with employer clients, account management, and sales in meetings as assigned to improve the understanding of the pharmacy benefit, as well as offering recommendations.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3EAdditional responsibilities for the Sr Pharmacist include:%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:12px 0px;orphans:2;padding:0px 0px 0px 20px;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cli style=%22line-height:1.25;%22%3EAdministrative Participate in meetings, committees, and work groups both internally and externally as assigned. Maintain a solid understanding of the requirements of the Pennsylvania Department of Health, DPW, CMS, and the National Committee for Quality Assurance, specifically as they relate to the expectations of pharmacy operations. Ensure compliance with regulatory and accreditation requirements of clinical functions. Communication Foster and maintain collaborative relationships with internal and external customers. Communicate pharmacy information as appropriate to members, employer groups, and providers. Develop communication materials to providers, including discussions regarding formulary changes/adherence, health education, medication compliance, and trend management.%3C/li%3E%3Cli%3ETeaching and Education Mentor students and assist in precepting for the residency program if applicable. Assists in the training of pharmacy personnel.%3C/li%3E%3Cli%3ESpecial Skills/Ability to Interact: Have the ability to function independently, but support team concept. Behavior denotes reliability as demonstrated by prompt attendance and timeliness in completing designated workload and follow-up. Conveys and maintains professional image while interacting with coworkers, providers, and clients. Honor client and patient confidentiality.%3C/li%3E%3C/ul%3E%3C/div%3E%3C/div%3E%3C/div%3E%3Cdiv class=%22block__field--line-break%22 style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);flex-basis:100%;font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;height:0px;letter-spacing:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%26nbsp;%3C/div%3E%3Cdiv class=%22block__cell block__field--wide-rich-text%22 style=%22-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(0, 0, 0);flex:0 1 100%;font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:10px 0px 0px;orphans:2;padding:0px 25px 0px 0px;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;width:941.898px;word-spacing:0px;%22 data-bind=%22css: %24component.getBlockCellCss(%24data, 0)%22%3E%3Cdiv class=%22block__field--wide-rich-text%22 style=%22flex-basis:100%;%22 data-bind=%22attr: {id: %24data.name + %27-container%27,%0A class:(%0A %24data.displayType === %27InputTextArea%27) ? %27block__field--full-width%27 : %0A (%24data.displayType === %27InputRichText%27 || %24data.name === %27descriptionExt%27 || %24data.name === %27qualificationExt%27 ||%0A %24data.name === %27descriptionInt%27 || %24data.name === %27qualificationInt%27) ? %27block__field--wide-rich-text%27 :%0A %27block__field--edit%27}%22 id=%22qualificationInt-container%22%3E%3Coj-label class=%22block__field-label oj-label oj-component oj-complete%22 style=%22color:rgb(132, 132, 132);display:block;font-size:0.929rem;font-weight:normal;margin-bottom:0.25em;overflow-wrap:break-word;word-break:break-word;%22 data-bind=%22attr: {for: %24data.name + %27-value%27, style : %24data.labelStyle }%22 for=%22qualificationInt-value%22 id=%22ui-id-337%22%3E%3Cdiv class=%22oj-label-group%22 style=%22display:inline-block;vertical-align:bottom;%22%3E%3Clabel class=%22oj-component-initnode%22 data-oj-internal=%22%22 id=%22ui-id-337|label%22 for=%22qualificationInt-value%22%3E%3Cspan style=%22color:rgb(0, 0, 0);font-family:%26quot;helvetica neue%26quot;, arial, verdana, sans-serif;font-size:0.929rem;font-style:normal;font-weight:bold;text-decoration:none;%22 data-bind=%22html: %24component.getLabel(%24data)%22%3EQualifications - Internal%3C/span%3E%3C/label%3E%3C/div%3E%3C/oj-label%3E%3C/div%3E%3C/div%3E
- Bachelor of Science Degree in Pharmacy, and/or Doctor of Pharmacy Degree (Pharm.D.) from an accredited U.S. School of Pharmacy.
- Experience in pharmacy benefit management, insurance, managed care preferred and be knowledgeable in therapeutic interventions and other cost containment programs.
- One year of experience in a managed care pharmacy setting.
- Effective communication skills, both written and oral.
- Must have strong analytical ability and organizational skills.
- Computer literacy for pharmacy programming, word processing, data management.
- Assessment of job-related skills and competency will be reviewed annually via daily functioning, job-related documentation, department-based competency programs, and continuing education activities.
Licensure, Certifications, and Clearances:
Registration as a registered pharmacist (RPh), in home state. Continuing Education requirements met each bi-annual cycle for re-licensure, as evident by obtaining a minimum of 30 hours of continuing education every 2 years in structured pharmaceutical education as necessary by the state board.
- Pharmacist
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran