Job Description

Clinical Pharmacist - Cigna MedicareThe Embedded Clinical Pharmacist is responsible for the daily activities of the pharmacy programs. Assists with the development and execution of numerous initiatives that improve the quality or cost effectiveness of drug therapy in coordination with other care team members and physicians as identified.Core Responsibilities/Essential Functions

• Provide direct face-to-face or telephonic pharmaceutical care services to ambulatory care patients in a clinical setting and promote appropriate, safe and cost-effective drug therapy to improve patients\' quality of life.
• Perform patient medication therapy monitoring and disease state management counseling.
• Document pharmaceutical interventions within the electronic medical record.
• Assist patients and physicians with medication profiles and facilitate prior authorization as related to patient and point of care need. Maintain significant physician engagement and support within an assigned geographic area.
• Assist in the development and presentation of educational materials for patients and providers.
• Respond to phone inquiries (including but not limited to drug information, eligibility, health plan navigation) for both internal (Markets, Specialists, Medical Directors) and external (Pharmacists, Physicians, Patients) customers. Serve as a drug information resource to the clinical team, assigned prescribers, and patients.
• Proactively conduct analysis of care setting drug utilization data to identify trends, develop strategies, and implement comprehensive programs to improve patient outcomes.
• Responsible for utilizing available data to implement health plan pharmacy initiatives, such as HEDIS/Star measures and Medication Therapy Management Program (MTMP).
• Utilize Pharmacy Benefit Manager resources and maintain comprehensive knowledge base on all heath plan pharmacy benefits.
• Serve in the capacity of clinical preceptor to provide oversight of students and/or residents to execute specific outreach programs including HEDIS/Star measures, MTMP, and other initiatives.
• Participate in patient rounds as a member of the multidisciplinary care team where applicable.
• This role requires at least 25% travel within the greater Houston, TX area.

Minimum Qualifications

• PharmD or Bachelor\'s degree in Pharmacy with advanced degree
• Registered Pharmacist in state of TX
• Three or more years of pharmacy experience
• Knowledge of computer applications, including pharmacy claims systems
• Knowledge of regulatory requirements with emphasis on Medicare

Preferred Requirements

• Managed care pharmacy experiential rotation or residency

. Two or more years of clinical and/or managed care experienceMust reside within the greater Houston, TX metro area. Role will require local travel.If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 111,900 - 186,500 USD / yearly, depending on relevant factors, including experience and geographic location.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 Group .About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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