Clinical Intervention Pharmacist

Clinical Intervention Pharmacist - (2400140) 
Primary Location: US-Ohio
Job 7 - General Staff
Organization: Pharmacy
Schedule: Regular
Shift: Standard
Employee Status: Individual Contributor
Job Type: Full-time
Job Level: Day Job
This is a remote opportunity.
Note, quarterly on-site requirement in Brooklyn, Ohio. Ohio residents strongly preferred.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.
Medical Mutual’ s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

Develops strategies and engages members and/or providers to conduct clinically and financially meaningful interventions that impact member drug therapy. These interventions are aimed at improving pharmaceutical care for our members, reducing total cost of drug therapy, and improving pharmacy related quality measures such as Medicare STARS and HEDIS.

Responsibilities

• Conducts targeted member and/or provider clinical interventions to ensure appropriate and cost-effective member drug therapy.

• Develops strategies to engage members and/or providers and help drive improvements in pharmaceutical care and pharmacy quality measures.

• Reviews drug/medical literature, clinical practice guidelines, quality measures, and available national guidelines to support drug therapy interventions.

• Develops written materials designed to enhance member adherence and other quality measures including appropriate use of medications and messaging campaigns. Provides internal professional staff and external provider education related to pharmacy drug therapy interventions.

• Performs other duties as assigned.  

Qualifications:

Education and Experience

• Doctor of Pharmacy (Pharm.D.). In lieu of Pharm. D., may consider Bachelor of Pharmacy with relevant experience.

• 3 years pharmacy practice experience in a managed care pharmacy setting.

• 2 years of medication therapy management, quality or similar managed care pharmacy experience.

• Medicare experience preferred.Professional Certification

• Current unrestricted license from the Ohio State Board of Pharmacy.Technical Skills and Knowledge

• Comprehensive understanding of managed care pharmacy, drug utilization management, population health, and quality programs.

• Knowledge of medical/pharmacy terminology/coding and specialty drug management desired.

• Intermediate Microsoft Office skills; basic proficiency with Visio and/or Access.Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.

• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.

• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.

• Discounts at many places in and around town, just for being a Medical Mutual team member.

• The opportunity to earn cash rewards for shopping with our customers.

• Business casual attire, including jeans.

​Excellent Benefits and Compensation:

Employee bonus program:

• 401(k) with company match up to 4% and an additional company contribution.

• Health Savings Account with a company matching contribution.

• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.

• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.

• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.

• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.

• Mentoring and coaching to help you advance in your career.

• Tuition reimbursement up to $5,250 per year, the IRS maximum.

• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.