- Working collaboratively with multiple stakeholders in order to improve our customer's care coordination and healthcare outcomes
- Responsible for gathering and reviewing pertinent health data from pharmacy claims, medical databases, and internal clinical resources in order to complete comprehensive medication reviews
- Documenting and tracking customer's personalized recommendations in a centralized database
- Participating in quality improvement programs and initiatives driven by business needs
- Understanding the Cigna Medicare suite of Clinical programs, identifying practice opportunities, and integrating the clinical programs and resources into the practice workflows with the intent to optimize the customer experience, quality of care provided, and positively impact resource utilization
- May assist with projects involving utilization management analysis, including but not limited to medication adherence and compliance
- May assist in medication reviews for other Cigna Medicare clinical programs as needed
- Handles phone inquiries from physicians, the clinical staff, and Cigna members
- Licensed Pharmacist required (bachelor's degree in pharmacy or PharmD preferred)
- Residency or Board Certification preferred
- Medication knowledge
- 3+ years' experience in Pharmacy Managed Care and/or Medicare/Medicaid preferred
- MTM experience preferred
- Experience working with MTM applications (ex: Adhere Health's optimize) preferred
- Excellent verbal and written communication skills
- Bilingual in English and Spanish strongly preferred
- Proficient technical skills utilizing Microsoft Office such as Word, Excel, PowerPoint, and Outlook
- Computer literacy- will work with several different computer applications simultaneously
- Strong learning agility and ability to apply concepts quickly
- Strong problem solving and decision-making skills
- Ability to develop innovative solutions to complex healthcare issues
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MTM Clinical Pharmacist - Remote, United States - The Cigna Group
Description
The job profile for this position is Clinical Pharmacist, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply
Our people make all the difference in our success.
Clinical Pharmacist (Cigna) – Medication Therapy Management
Role Summary:
The Clinical Pharmacist assists with the execution of numerous initiatives that improve the quality and effectiveness of drug therapy for Cigna Medicare members. In this role, you will work on a high performing team of professionals across multiple functions and complete comprehensive medication reviews for high risk customers. These reviews include but are not limited to the assessment of drug interactions, therapeutic duplications, renal and hepatic dosing adjustments, evidence-based gaps in care, STAR-related pharmacy opportunities, and medication cost and adherence barriers.
Responsibilities:
Education:
Skills:
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
