Pharmacist

Network Health is seeking a Pharmacist. This individual is responsible for providing clinical support for Network Health's pharmacy, quality, compliance and health management efforts. This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. The incumbent in this role assists in the development and evaluation of the plan formulary and benefit designs, and reports and presents such information as part of the Network Health P&T Committee. The Pharmacist collaborates with other Network Health departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS. In addition, the Pharmacist assists in outreach efforts for provider education and provider detailing.

Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at our office in Brookfield or Menasha in combination with your home office (reliable internet is required) in our hybrid workplace model. Travel to the corporate office in Menasha will be required occasionally for the position, including on first day.

Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday

Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

• Assist with Commercial compliance work plan over site
• PBM follow up regarding claim audits (benefit change forms, member, reimbursement/ recoupments, follow up audits to monitor effectuation of changes)
• Participates in case management, disease management and poly-pharmacy for Network Health patients with extraordinary high drug costs, including related services
• Assist in providing physician education in areas of potential improvement i.e., create articles for pharmacy newsletter for Network Health providers, speak to medical departments regarding drug issues, speak to individual providers regarding drug issues including those for individual Network Health members, participate in appropriate quality improvement projects, etc
• Assist with Concurrent DUR, Retrospective DUR, and MTM programs
• Assist with formulary management and identifying UM criteria
• Perform other duties and responsibilities as assigned

Job Requirements:

• Bachelor of Science in Pharmacy. Doctorate of Pharmacy preferred
• Current Pharmacist licensure without restriction by the State of Wisconsin Pharmacy Examining Board
• Valid Driver's License required
• A minimum of 3 years clinical experience
• Residency/fellowship preferred, Managed Care experience desirable
• Prefer experience in at least one of the following areas:
  
  
  
  • Medication Therapy Management Programs
  • Long Term Care Pharmacy consulting or
  • Decentralized hospital pharmacy services
  
  
  
  

Network Health is an Equal Opportunity Employer