Clinical Pharmacist

• Are you an experienced Clinical Pharmacist looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Kepro team?

If so, you might be our next new team member!

Who we need:

This position will work with Alabama Medicaid, must be located within Alabama, and reside within driving distance of the Alabama Medicaid home office in Montgomery, Alabama. The Clinical Pharmacist assigned to work with Alabama Medicaid must possess superior clinical competence, demonstrate proficiency in claims processing, drug therapy management, policy, pharmacy operations, and have superior computer, written , communication, analytical thinking and problem solving skills, and be willing to travel if needed. The Clinical Staff Pharmacist assigned to work with Alabama Medicaid must have at minimum 3 years of experience in outpatient/community pharmacy, must be licensed in the State of Alabama, hold a current preceptor license (or must obtain preceptor license within first 6 months of work), and must be in good standing with the Alabama Board of Pharmacy.

This position will be physically located and work at the Medicaid central office in Montgomery, Alabama on a full-time basis (i.e. fully dedicated to Alabama); work schedule will be at the discretion of the Alabama Medicaid Agency Director of Clinical Services/Pharmacy to best serve Medicaid. The majority of his/her time will be spent reviewing claims, policy, auditing, and making recommendations to Medicaid’s Pharmacy and DME Program staff. He/she will report to the Pharmacy Program/Clinical Services Director for work assignments and scheduling requests.

Why us?

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.

People Focused. Mission Driven.

Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.

We do this through our people.

At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.

Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

What you’ll do:

• Reviews, creates, or maintains various documents /reports used internally as well as publicly and ensure the information is correct.
  
• Performs various duties as needed to successfully fulfill the function of the position including prior authorization reviews, disease management, quality control, and criteria management.
• Attend and participate in meetings (in person, telephonic, and virtual) with Medicaid and other stakeholders.
• Conduct drug product research and provide recommendations for coverage and restrictions by applying Medicaid guidelines.
• Oversee the Pharmacy Lock In program.
• Review and revise drug lists for Pharmacy &Therapeutic (P&T) as well as Drug Utilization Review (DUR) meetings, review of clinical packet for meetings, and coordination of appropriate lists once clinical review is complete.
• Must hold a current preceptor license in the state of Alabama (or must obtain preceptor license within first 6 months of work). Accept pharmacy students from one or more school(s) of pharmacy in the state of Alabama. Coordinate and oversee all student activities, prepare and grade assignments in accordance with School of Pharmacy guidelines, and ensure student receives well-rounded rotation that reflects all aspects of Medicaid pharmacy, school requirements, and current policies.
• Travel to various meetings upon request of Medicaid (estimated annually as 5-10 day trips within the state, and 1-4 overnight trips out of state) to represent Alabama Medicaid. Estimates are based on historical travel statements and may change.
• Meet and/or exceed production, quality, attendance and adherence standards.
• Provide / assist in training of other employees.
• Adheres to all company and Medicaid policies and procedures.
• Positively perform other duties as assigned.

What you’ll need:

Required Qualifications

Education: Minimum –Bachelor’s Degree in Pharmacy is required.

Preferred – Doctorate of Pharmacy Degree (desired, not required).

Licenses or Certifications:

License: Minimum - Licensed Pharmacist; holds an active and unrestrictive license in the State of operation. Must hold a preceptor license (or must obtain preceptor license within first 6 months of work).

Knowledge, Skills, Abilities

• A combination of comprehensive therapeutic knowledge, problem-solving skills, and judgment is necessary.
• Ability to work cooperatively with others; comprehension of the current standards of pharmacy practice; and understanding of the challenges of professional pharmacy practice.
• Ability to master computer / software applications necessary for completing job tasks as required.
• Ability to manage multiple employees and workloads at once and meet contractual deadlines.
• Ability to understand functionality of applications for processing of PA reviews (approvals and denials).
• Excellent verbal and communication skills.
• Excellent research and writing skills.
• Maintain confidential and private information with no reason for complaint.
• Ability to represent Alabama Medicaid and Kepro in a professional manner with no reason for complaint.

Experience

Travel: Occasional travel in common transportation carriers or personal automobile may be required to perform the job.

Thank You!

We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Kepro Talent Acquisition Team

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

EOE AA M/F/Vet/Disability

Kepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.