This role requires 50% of travel. You will need to be fully vaccinated in order to travel & meet the requirements for this position.
Job Description : CareAllies Clinical Pharmacist – Southeast Region
Job Purpose
The clinical pharmacist will play a critical role in executing CareAllies strategy in partnership with physician and provider groups to strengthen their member physician’s doctor-patient-community relationships and engagement by enhancing the quality and affordability of care. The clinical pharmacist will successfully service, monitor and grow strategic relationships with CareAllies leadership along with physician partner’s provider to help improve the quality, value and experience of care for their patients. This individual will focus on supporting providers and their office staff through performance management support, clinical program integration, and practice transformation.
The clinical pharmacist will serve as the liaison to physician groups, health systems, and health plans. This role will work closely with CareAllies Clinical Leadership, Provider Engagement, Population Health, and Data & Analytics teams.
Scope:
Targets top opportunity physicians, delivers patient-focused data, and provides educational training regarding STARS and other population health clinical initiatives
Attends provider groups physician meetings and provides education and guidance to physicians around various clinical topics
Participates in quality improvement programs and initiatives driven by clinical needs
Provide clinical support in partnership with provider engagement team on support through the various lines of business CareAllies supports
Participates in the expansion of CareAllies offerings as they grow such as the Social Determinants of Health program (SDoH)
Support the CareAllies Pharmacy Graduate Year (PGY-1) residency program
Job Components:
Support physician practices by analyzing performance reports and data to guide decision-making, process, and program implementation
Monitor and implement educational and process interventions based on practice-level data, trends and identified opportunities. Inclusive of, but not limited to:
Partnering with provider groups, and advising their primary care practices, physicians, nurses and other clinical staff to assist them on their conversion to value-based care
Dissemination and support of quality performance data
Testing and refining of workflows that support sustainable transformation to provider practices
Guiding practices as they expand interventions to additional patient populations
Responsible for utilizing available data to implement pharmacy initiatives, such as HEDIS/Star measures
Utilize pharmacy benefit manager resources and maintain comprehensive knowledge base on all heath plan pharmacy benefits
Responsible for understanding and enhancing the CareAllies suite of programs, identifying practice opportunities and integrating programs and resources into the practice workflows with the intent to optimize the patient experience, improve quality of care, and positively impact resource utilization
Travel throughout designated territory to meet with physician practices in support of value based agreement with anticipated 40% to 50% expected travel commitment
Serve as a drug information resource to CareAllies internal teams
Serve in the capacity of clinical preceptor to provide oversight of students and/or residents to execute specific outreach programs including HEDIS/Star measures, and other initiatives
Duties as assigned
Qualifications:
Pharm. D. degree or equivalent education in pharmacy
Completion of a post graduate clinical training, such as a PGY1 pharmacy residency program
Managed care experience preferred
Demonstrated ability to work independently, solve problems, and make sound decisions in a timely fashion
Ability to deal with ambiguity and continue to operate effectively, even in situations in which the way forward is not clear
Effectively builds informal relationship networks inside and outside the organization
Very strong communication skills to convey clear understanding of unique needs to different audiences
Ensure tasks are prioritized appropriately to effectively and efficiently accomplish objectives and goals
Proficiency in computer applications including Microsoft office platforms word, excel, and power point
Registered pharmacist in the state of practice
This role is subject to the CMS (Centers for Medicare/Medicaid Services) COVID-19 vaccine mandate. Full vaccination is required, meaning that workers in this position must have received one dose of the Johnson & Johnson vaccine or two doses of an mRNA vaccine before the first day of work.
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
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.
If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
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