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Vanderbilt University Medical Center Clinical Pharmacist, Managed Care in Nashville, Tennessee

Clinical Pharmacist, Managed Care - 2108615

Job : Pharmacy

Primary Location : TN-Nashville-Vanderbilt Hospital (VUH)

Organization : Pharmacy VHAN/Med Mgt 200979

Shift: : Days

Description

Clinical Pharmacist, Managed Care

Population Health Pharmacy Services

Responsibilities:

  • Apply analytical and problem-solving skills to identify utilization trends across medical and pharmacy benefits and to produce, analyze, and validate solutions to effectively manage our populations

  • Aggregate multiple data sources to create and provide timely and accurate reports

  • Ensure analyses, reports or other deliverables are complete and accurate in a timely manner

  • Serve as liaison between VHAN, payer partners, employers, and network practices

  • Collaborate with internal and external subject matter experts and stakeholders to gather, analyze, and validate ongoing strategic and tactical business needs of the department

  • Use various mediums to investigate cost saving or process improvement opportunities

  • Maintain awareness of industry best practices to provide subject matter expertise to internal and external customers

  • Provide education for clients, pharmacists, members, and internal colleagues

  • Make clinically and financially sound recommendations to clients based on trends

  • Routinely collaborate with account management to provide clinical aspects of client quarterly reviews, facilitating ongoing maintenance of client formulary and utilization management update

  • Communicate drug information to clients and respond to plan-specific clinical inquiries

  • Collaborate with plan sponsors to analyze and design effective benefit structures to service a specific population's needs

Experience (Required)

  • Bachelor's degree in Pharmacy or Pharm D

  • 2-3 years Managed Care work experience

  • Experience working for a PBM and /or Health Plan in a client-facing role with external clients (beyond patients and prescribers)

  • Active TN Pharmacist License within 1 month of start date

Preferred:

  • PGY1 Residency in Managed Care

  • Experience working with payer claims data

  • Highly self-motivated and self-directed

  • Advanced analytical and creative problem-solving skills with attention to detail

  • Excellent listening, interpersonal, written, and oral communication skills

  • Must be comfortable communicating with clients, clinicians, and executive leaders

  • Enjoys investigative type research to help determine business questions and potential solutions

  • Experience developing and delivering formal presentations

View how Vanderbilt Health employees celebrate the difference they make every day:

Discover Vanderbilt University Medical Center:

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning, and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work, and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

VUMC Recent Accomplishments

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

  • US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally-ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children’s Hospital at Vanderbilt named as one of the Best Children’s Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.

  • Healthcare’s Most Wired: Among the nation’s 100 “most-wired” hospitals and health systems for its efforts in innovative medical technology.

  • Becker’s Hospital Review: named as one of the “100 Great Hospitals in America”, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.

  • The Leapfrog Group: One of only 10 children’s hospitals in the nation to be named at Leapfrog Top Hospital.

  • American Association for the Advancement of Science: The School of Medicine has 112 elected fellows

  • Magnet Recognition Program: Received our third consecutive Magnet designations.

  • National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement

  • Human Rights Campaign Healthcare Equality Index: 6 th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.

Basic Qualifications

Bachelor's Degree (or equivalent experience) and 3 years relevant experience plus Bachelor's Degree or PharmD plus three (3) years relevant experience or PharmD plus completion of ASHP - Accredited PGY1 residency training program.

Licensure, Certification, and/or Registration (LCR):

  • Licensed Pharmacist Required

Additional Qualification Information:

  • Per Pharmacy Department policy, all new hires are subject to pre-employment drug screening (post offer), as well as for cause and random drug screening during their tenure with Vanderbilt.

Physical Requirements/Strengths needed & Physical Demands:

  • Light Work category requiring exertion up to 20 lbs. of force occasionally and uses negligible amounts of force to move objects.

Movement

  • Occasional: Sitting: Remaining in seated position

  • Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another

  • Occasional: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device

  • Occasional: Push/Pull: Exerting force to move objects away from or toward.

  • Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles

  • Occasional: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces

  • Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.

  • Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.

  • Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.

  • Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.

  • Frequent: Standing: Remaining on one's feet without moving.

  • Frequent: Walking: Moving about on foot.

  • Frequent: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.

  • Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.

  • Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.

  • Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.

  • Frequent: Bimanual Dexterity: Requiring the use of both hands.

Sensory

  • Continuous: Communication: Expressing or exchanging written/verbal/electronic information.

  • Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information

  • Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.

  • Continuous: Smell: Ability to detect and identify odors.

Environmental Conditions

  • Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.

  • Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.

Req ID: 2108615

Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.

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