18 days old

Clinical Program Manager

Umpqua Health
Roseburg, OR 97470
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  • Job Code
    123554333
Full Time - Regular
Roseburg, OR, US


POSITION PURPOSE:
Umpqua Health Alliance is a coordinated care organization that is committed to improving the health and well-being of our members and the community. This position will primarily support the Director of Clinical Pharmacy Services with Utilization Management (UM) review. This is a remote position with a variable shift that may include weekend and holiday coverage.

ESSENTIAL JOB RESPONSIBILITIES:
Develop and manage the Medication Therapy Management Program including performing related activities such as medication reconciliation, provider and member education, and care coordination.
Assist the Director of Pharmacy in Utilization Management (UM) review for medications covered by OHP. This includes review and clinical determination for prior authorization requests and appeals.
As assigned by Director of Pharmacy, may assist in occasional weekend and holiday on-call clinical coverage.
Participate as a member of the UHA Pharmacy and Therapeutics Committee, if invited and no conflicts of interests exists.
Assist the Director of Pharmacy in preparing drug monographs and other materials for Pharmacy and Therapeutics Committee.
Assist the Director of Pharmacy in developing clinical criteria related to the management of the prescription drug benefit.
Assist the Director of Pharmacy in developing clinical criteria related to the management of certain medical injectables covered under the medical benefit.
Participate as a member of the UHA Interdisciplinary Care Team and attend internal and community meetings as appropriate.
Other duties as assigned.

KNOWLEDGE/SKILLS/EXPERIENCE REQUIRED:
Required: PharmD-Doctorate of Pharmacy
Current Oregon State Pharmacist Licensure.
Pharmacy degree (Pharm.D. preferred) and experience working for a managed care plan or PBM.
Prefer knowledge of the Oregon Health Plan and Medicare Part D regulatory requirements.
Excellent time management skills, excellent organizational skills and attention to detail, and excellent verbal and written communication skills
Ability to work effectively with minor supervision.
Must be able to work in a fast-paced environment with daily work processing deadlines.
MS Word - Intermediate, Excel, PowerPoint - Intermediate and Internet - Advanced.



PI123554333
Posted: 2020-09-11 Expires: 2020-10-13

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Clinical Program Manager

Umpqua Health
Roseburg, OR 97470

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