Job title: Value-Based Care Clinical Pharmacist
Company: Kootenai Health
Job description: Value-Based Care Clinical PharmacistPosition Summary:The value-based care clinical pharmacist is a position that evaluates patients in the Kootenai Care Network (KCN) for appropriate and cost-effective therapies. The goal of this position is to improve overall health outcomes and maintain high quality of care. The pharmacist will perform comprehensive medication reviews, formulary management, prior authorization evaluations, quality improvement efforts, and other duties as assigned based on experience and training. Responsible for medication sensitive measures in value-based contracts. Reports to the Executive Director of KCN and has a clinical connection to a pharmacy manager.Responsibilities:
- Assesses the utilization of high-cost medications and biologics, as well as appropriateness of sites of care, based on policy and clinical guidelines
- Monitors and ensures proper use of high-cost or high-risk medications to achieve optimal clinical and financial outcomes
- Develops and maintains Quality Assurance (QA) programs that enhance patient safety, improve medication use, and deliver the highest standard of care
- Conducts outcomes-based research to assess the real-world performance of therapies and guide medication-related decision-making
- Designs and evaluates medication management programs that align with evidence-based practices
- Develops educational materials to support providers in improving HEDIS and CMS Stars measures
- Designs and implements strategies to improve member experience and healthcare outcomes
- Conducts drug utilization reviews, including those targeting specific disease states like multiple sclerosis or opioid management, to ensure safe and effective use of medications
- Provides evidence-based recommendations on formulary inclusions, exclusions, and restrictions
- Analyzes clinical data and creates actionable recommendations to the team and provider network
- Performs other related duties as assigned
- Familiar with standard concepts, practices, and procedures within the value-based care model
- Relies on experience and judgment to plan and accomplish goal
- Regular and predictable attendance is an essential job function
- Competent to meet age-specific needs of the unit assigned
Requirements and Minimum Qualifications:
- Doctor of Pharmacy with minimum of 2 years’ post graduate experience in patient care OR BS and residency or board certification or with 5 years’ post graduate experience in patient care OR BS with 10 years’ post graduate experience in patient care
- Must be licensed and/or License eligible in the state of Idaho. Licensure must be obtained within 60 days of date of hire.
- Proficiency with electronic health record and other data management technology
- Strong communication skills for collaborating with patients, providers, and healthcare teams
Working Conditions:
- Must be able to maintain a standing and/or sitting position
- Typical equipment used in a clinical and office job
- Repetitive movements
- Must be able to bend, stoop, or crouch
- Must be able to reach arms above or below shoulder height
- Must be able to lift and move up to 10 lbs
About Kootenai Health:Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.As your next employer, we are excited to offer you:
- Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.
- Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we’ll help you pay for it
- Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
- Competitive salaries with night, weekend, and PRN shift differentials
- An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
- Employees receive discounts at The Wellness Bar, PEAK Fitness, and more
- Robust and interactive employee referral program
- And much more
Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can’t wait to meet you!Apply today! Please reach out to Julie Pickup at JPickup@kh.org. You can also contact the HR Front Desk at 208-625-4620 or email with any questions.Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.
Expected salary:
Location: Coeur d’Alene, ID
Job date: Sat, 21 Dec 2024 03:36:07 GMT
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