Clinical Pharmacist - Complex Care Management

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

The Clinical Pharmacist is responsible for providing comprehensive pharmaceutical care services to patients in collaboration with SCAN-employed physicians and other healthcare providers within the context of SCAN's Care Management Team. This role supports SCAN's mission to keep seniors healthy and independent by improving medication use, optimizing therapeutic outcomes, and enhancing medication adherence in alignment with SCAN Pharmacy Department goals, including support of HEDIS/STAR measures.

You Will

Work in collaboration with other members of the care management team including social work care managers, RN care managers, community health workers, and care coordinators when they triage concerns about member medication regimens.

Review members on care management identified as having polypharmacy, having high-risk medications and/or with barriers to medication adherence and make recommendations for adjustments to be shared with members and their primary care providers.

Support post-discharge medication reconciliation efforts and manage chronic diseases including diabetes, COPD, heart failure, asthma, HTN, and behavioral health conditions in conjunction with the member's healthcare team and provide disease management education as needed to improve treatment adherence.

Conduct engaging and comprehensive telephonic medication consultations with members and deliver high quality evidence-based therapeutic recommendations to providers.

Participate in Inpatient/IDT/ICT team meetings.

Assist in educating other members of the care management team on medication management to improve skills in assisting members with medications in the field and over the phone.

Assist members with identifying lower cost options when medication cost is a barrier and then communicate recommendations to member's PCP.

Assist in identification of members on Care Management who are on high-risk medications or high-risk combinations, then make recommendations to members and PCPs on safer alternatives.

Utilize prescription and medical claim data to generate clinical recommendations for medication management.

See the whole person, consider Social Determinants of Health, and connect members to benefits as applicable.

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Actively support the achievement of SCAN's Vision and Goals.

Other duties as assigned.

Your Qualifications

Bachelor's Degree required.

Current & active Pharmacist License required.

Graduate or Advanced Degree or equivalent experience preferred.

Collaborative Practice Agreement (CPA) eligibility or existing certification required.

Pharmacy license in CA required; with ability to obtain in AZ, TX, NV, and NM preferred.

Completion of a PGY1 residency program; PGY2 in ambulatory care or equivalent experience preferred.

Board Certification preferred (Geriatric, Ambulatory Care, or Pharmacotherapy).

Experience in Medicare Advantage and value-based care models preferred.

Bilingual Spanish/English preferred. If bilingual, a test will be administered to access proficiency.

Advanced Practice preferred.

Leadership - Skilled to develops others

Problem Solving - Make critical decisions, often involving high-level risk assessment and the ability to adapt to changing circumstances

Strategic Mindset - Formulates strategy and maps steps to achieve strategic goals

Strong interpersonal skills, including excellent written and verbal communication skills.

Strong organizational skills.

Strong critical thinking skills.

Ability to multitask.

Ability to appropriately maintain confidentiality.

General understanding of NCQA standards, CMS and DHCS regulations.

General knowledge of medical terminology and abbreviations.

Advanced clinical knowledge in disease state management and medication safety.

Excellent interpersonal and communication skills.

What's in it for you?

• Base salary range: $125,400.00 to $181,419.00 per year
• Internal title - Clinical Pharmacist
• Work Mode - Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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