Margin Clinical Pharmacist

BrightSpring Health Services
FAIR, NJ, US
$103.3K a year
Full-time

Overview

Come join our closed-door specialty infusion pharmacy! Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.

As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.

The Margin Clinical Pharmacist will work with the Margin team to provide appropriate recommendations for drug therapy and contribute to the optimal medication management of patients.

They will work with the Margin team to determine appropriate drug, make recommendations for medical billing or PBM billing, review insurance-based formulary.

They will also interpret, clarify, verify, and request updated orders for medications and other pharmaceutical supplies pursuant to a medication order.

Provide clinical pharmacy services to patients as well as internal stakeholders involved in the care of the patient inclusive of responding to medical information requests.

The Margin Pharmacist will work at one of these Amerita pharmacies : Oklahoma City, Denver, Atlanta, Fairfield (NJ), Fort Myers (FL)

  • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
  • Supplemental Coverage Accident, Critical Illness and Hospital Indemnity Insurance
  • 401(k) Retirement Plan with Employer Match
  • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
  • Employee Discounts
  • Tuition Reimbursement
  • Paid Time Off & Holidays

Responsibilities

  • Evaluates physician medication orders for appropriateness of drug, margin, medical or pharmacy billing, dosage, potential interactions, and route of administration
  • Provides support for the Infusion pharmacy dispensing and fulfillment operations across the pharmacy network. Engage in business improvement and sustainability, cost reduction projects and process flow optimization
  • Makes recommendations for therapy changes to the physician and facility staff as appropriate
  • Continuous review of products selected for each patient to validate margin, formulary changes, and medication appropriateness based on disease state
  • Makes decisions to approve or deny each claim that is reviewed accurately
  • Audits previous approvals to ensure losses are appropriate and the reimbursement is up to date
  • Identifies brand to generic conversion opportunities to enhance probability and minimize copay costs to patients
  • Serves as lead resource to internal stakeholders for medical / drug information inquiries
  • Identifies problem areas with effective follow-through to quickly address the root causes and coordinate activities with cross functional team members from Operations, IT, Finance and Procurement / Corporate Inventory
  • Maintains patient database to include appropriate current and past medical history, appropriate clinical and laboratory data, and concurrent medication (including over-the-counter and home remedies)
  • Collaborates with the healthcare team to provide clinical and technical support as needed
  • Documents all communication with physicians, nurses, other members of the healthcare team and patients / residents and their family members in the medical record
  • Responds to patient-specific or non-patient-specific inquiries from internal or external stakeholders for drug / medical information related to any medication within company’s business portfolio
  • Documentation of adverse events and products complaints per contractual obligations to pharmaceutical manufacturers
  • Assists facility / agency staff personnel with procedures relating to safe and effective methods of procuring, maintaining, administering and disposing of drugs

Qualifications

Required Education and Experience

  • Bachelor’s Degree in Pharmacy or PharmD Master’s degree in accounting or finance preferred
  • One or more years of specialty or infusion pharmacy practice experience

Knowledge Skills and Abilities

Required : Knowledge of pharmacy laws and federal and state regulations concerning pharmaceutical care practices for infusion patients in home and at an infusion facility.

Ability to work cooperatively as a member of a team.

Required : Strong problem-solving skills

Licenses and Ceritification

  • Current pharmacist licensure in at least one state or US territory
  • Credentialing from Board of Pharmacy Specialties (BPS) such as Board Certified Oncology Pharmacist (BCOP) or Board Certified Pharmacotherapy Specialist (BCPS), credentialing from National Association of Specialty Pharmacies as Certified Specialty Pharmacist (CSP) desired
  • Knowledge of pharmacy laws and federal and state regulations concerning pharmaceutical care practices for infusion patients in home and at an infusion facility.

Ability to work cooperatively as a member of a team.

  • Strong problem-solving skills
  • While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk and use hands to finger, handle or feel.

The employee is occasionally required to stand and reach with hands and arms. The employee must frequently lift and / or move up to 10 pounds and occasionally lift and or move up to 30 pounds.

Specific vision abilities required Rev. 3 / 2022 by this job include close vision, distance vision and the ability to adjust focus.

The noise level in the work environment is usually moderate.

About our Line of Business

Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.

Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider.

For more information about Amerita, please visit . Follow us on and .

Salary Range

USD $103,300.00 - $154,900.00 / Year

14 days ago
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