Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

　　Position Title: Ambulatory Care Clinical Coordinator

　　Department: Pharmacy

　　Title of Manager: Senior Manager, Pharmacy or Pharmacy Clinical Supervisor

　　Supervises: Non-Supervisory

　　Exemption Status: Exempt

　　Requisition ID: 23992

　　Pay and Benefits: Estimated hiring range $133,450 - $161,480 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers

　　Posting Notes: This is a fully remote role with flexible scheduling options. Candidates must have a current Pharmacist license in Oregon. This role will focus on Medicare Quality programs.

　　General Statement of Duties

　　The Ambulatory Care Clinical Coordinator (pharmacist) is responsible for providing oversight of an assigned area (Care Coordination). The pharmacist needs to demonstrate consistent application of knowledge and skills related to pharmacy benefits, quality measures, and other initiatives in order to communicate, partner, and deliver appropriate, safe, efficient, and cost-effective patient care as part of a multidisciplinary team. Responsibilities include supporting the patient-centered medical home, incorporating principles of population-based medicine, expanding and coordinating the expansion of pharmaceutical care services to patients across the health-system through primary care clinics, community pharmacies, or other designated environments. Care Coordination: This position is responsible for coordinating effective use of the pharmacy benefit by delivering clinical and educational interventions designed to improve pharmaceutical care.

　　Essential Position Functions

　　Develop and conduct quality improvement programs related to the pharmacy program.

　　Develop and implement clinical educational programs to improve drug utilization and quality.

　　Develop and conduct educational initiatives to improve prescribing patterns for quality and/or cost opportunities to support sustainable cost trends with the highest quality.

　　Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives.

　　Develop and conduct retrospective drug use reviews.

　　Leading the design, development, and implementation of quality improvement initiatives related to the pharmacy program will be an important aspect of this position.

　　Review medication prior authorization requests and appeals as assigned.

　　Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others as applicable.

　　Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee and other pharmacy program activities as assigned.

　　Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit.

　　Consult with clinicians and pharmacists to resolve pharmacy benefit issues.

　　Precept pharmacy students and residents.

　　Position assigned to Care Coordination:

　　Critically evaluate drug therapy regimens for patients enrolled in the care coordination program and assist with developing treatment plans.

　　Provide medication therapy management (MTM) services.

　　Utilize technology platforms to document and to meet MTM objectives.

　　Monitor MTM objectives and high-risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight.

　　Perform medication reviews and other tasks as assigned to meet plan quality metrics.

　　Essential Department and Organizational Functions

　　Propose and implement process improvements.

　　Meet deadlines for completion of workload.

　　Maintain agreed upon work schedule.

　　Demonstrate cooperation and teamwork.

　　Provide cross-training on specific job responsibilities.

　　Meet identified business goals that contribute to departmental goals.

　　Follow established departmental policies and procedures.

　　Perform other duties and projects as assigned.

　　Knowledge, Skills and Abilities Required

　　Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization

　　Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine

　　Ability to design and review pharmacy claims analysis/reports according to specific project requirements

　　Must have comprehensive, clinical pharmaceutical knowledge base

　　Must be highly motivated and have the ability to work independently

　　Excellent organizational, project management, and time-management skills

　　Excellent written and verbal communication skills

　　Excellent customer service skills

　　Ability to work with diverse groups

　　Ability to manage multiple tasks

　　Ability to negotiate, problem-solve, and consensus-build

　　Basic word processing, spreadsheet, and database skills

　　Physical Skills and Abilities Required

　　Lifting/Carrying up to 10 Pounds

　　Pushing/Pulling up to 0 Pounds

　　Pinching/Retrieving Small Objects

　　Crouching/Crawling

　　Reaching

　　Climbing Stairs

　　Repetitive Finger/Wrist/Elbow/

　　Shoulder/Neck Movement

　　1-3 hours/day

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　　0 hours/day

　　0 hours/day

　　More than 6 hours/day

　　Standing

　　Walking

　　Sitting

　　Bending

　　Seeing

　　Reading

　　Hearing

　　Speaking Clearly

　　0 hours/day

　　0 hours/day

　　0 hours/day

　　0 hours/day

　　More than 6 hours/day

　　More than 6 hours/day

　　More than 6 hours/day

　　More than 6 hours/day

　　Cognitive and Other Skills and Abilities

　　Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

　　Education and/or Experience

　　Required:

　　Graduate of an accredited pharmacy program

　　Current (or eligible) unrestricted licensure as a pharmacist in the state of Oregon

　　Advanced pharmacy training (PharmD, residency, fellowship, board certification or master’s degree in related discipline)

　　Practical experience with minimum 2 years as a clinical pharmacist in pharmaceutical care management in an ambulatory care or other clinical setting (which can include residency experience)

　　Preferred:

　　Previous experience in managed care and project management

　　PGY1 residency training

　　Working Conditions

　　Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

　　☒ Inside/office ☐ Clinics/health facilities ☐ Member homes

　　☐ Other_____________

　　Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.

　　Equipment: General office equipment

　　Hazards: n/a

　　#Li-Remote

　　Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

　　Veterans are strongly encouraged to apply.

　　We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

　　Visa sponsorship is not available at this time.