The incumbent is an integral part of the clinical team and will participate in virtually all of the daily clinical activities and operations as the full-time pharmacists, such as performing clinical reviews, policy writing, formulary updates, and Medication Therapy Management for Medicare Part D. Presents professional posters at a national meeting of managed care organizations and/or publish articles in peer-reviewed professional journals.

Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.

Jefferson Hospital has Magnet® recognition for nursing excellence, private patient rooms, and a generous benefit package (for full-time and part-time status employees). This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities.

Medicare Part D file management and Pipeline drug database management. + Develop criteria used to evaluate a request for non-formulary drug coverage, evaluate a prior authorization request, or evaluate a managed prescription drug coverage request.

Participate in journal club, research projects, and seminar presentations either on-site at Highmark or at the University of Pittsburgh. Licensed pharmacist in Pennsylvania, licensure pending successful completion of Pennsylvania State Board Exam, or ability to reciprocate license.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. Develop exceptional written and verbal communication skills, demonstrated through daily professional interactions; preparing provider, member, and group communications; oral presentations; poster presentations; and/or article publication.

Conduct research and prepare documents that will be used by committees of the Organization to determine Formulary status of medications, as well as any strategic management programs that could apply to individual drugs or entire classes of medications.

Participate in the clinical evaluation process for determining whether coverage for non-formulary medications and/or prior authorizations will be approved. Travel regularly from the office to various work sites or from site-to-site.

Retail, Hospital, or other Pharmacy experience preferred. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.

Other duties as assigned or requested. Conduct rotations in areas including Specialty Pharmacy, Sales and Marketing, and Manufacturer Relations and Contracting to include. Required and elective rotations will provide the resident with exposure to diverse experiences such as specialty pharmacy, sales and marketing, regulatory and compliance, contracting and manufacturer relations, Senior Products, journal clubs, new drug presentations, direct patient care, and various teaching opportunities.

Oversee day-to-day operations of the drug utilization review (DUR) initiatives within the Medical and Pharmacy Affairs department, including reviewing cases and consulting with internal and network physicians.

Doctor of Pharmacy (PharmD) In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Retail, Hospital, or other Pharmacy experience preferred+ Strong computer skills including word processing, spreadsheet and database end user experience as well as strong verbal and written communication skills.

Office-basedTeaches / trains others regularlyOccasionallyTravel regularly from the office to various work sites or from site-to-siteRarelyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsRarely.