Anthem, Inc. Pharmacist Consultant/Clinical Quality in Las Vegas, Nevada
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
Pharmacist Consultant/Clinical Quality PS40967
*Atlanta, Mason, and Las Vegas office locations preferred
The Pharmacist Consultant is responsible for supporting disease management programs and physician care plans through reviewing clinical quality calls for accuracy and compliance for Spanish-speaking program participants.
Primary duties may include, but are not limited to:
Responsible for conducting clinical quality audits of pharmacists providing pharmaceutical care to members, telephonically, by conducting Comprehensive Medication Reviews (CMRs) for Polypharmacy, drug allergies, clinical effectiveness, cost effective drug selection, dose optimization, contraindications, adverse effects, potential drug interactions, therapeutic outcomes and adherence.
Reviews, Evaluates, and verifies medication recommendations provided to members through recorded telephonic contacts.
Determines potential barriers to compliance and identifies solutions to overcome barriers.
Tracks and Trends quality scores to provide leadership reporting.
Develops and maintains Quality department policies and procedures
Serves as a resource to the clinical team in disease management and other clinical areas.
Conducts In-house training support as needed
Current, unrestricted Pharmacist license in the state GA, OH or Nevada required.
Requires an RPh; 2 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
Prior call center experience strongly preferred.
Experience with direct patient counseling or education preferred.
Experience working with members and providers on Medication Therapy Management to optimize medication use required.
MTM Certification a plus.
Experience performing quality audits a plus
Ability to multi-task is essential.
Attention to detail
Proficient written, oral and interpersonal communication skills required.
Proficient knowledge of Microsoft Windows and Microsoft Office (Outlook, Word, Excel, PowerPoint) required.
May require response during non-standard hours.
Bi-lingual, English/Spanish preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2018 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
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