Rational Drug Therapy Program Graduate Pharmacist - Pharmaceutical Systems and Policy

Any, United StatesOn-SiteFull-time1+ yrs experiencePosted 2d ago

Job description

%3Cp class=%22MsoNormal%22 style=%22background-color%5C:white;line-height%5C:normal;margin-bottom%5C:0in;vertical-align%5C:bottom;%22%3E%3Cspan style=%22color%5C:black;font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%3Cspan style=%22mso-fareast-font-family%5C:%26quot;Times New Roman%26quot;;mso-font-kerning%5C:0pt;mso-ligatures%5C:none;%22%3EThe School of Pharmacy Department of Pharmaceutical Systems and Policy at West Virginia University is currently accepting applications for a Rational Drug Therapy Graduate Pharmacist%3C/span%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%3Cstrong%3EAbout the Opportunity%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EAs a Pharmacy Graduate Intern at Rational Drug Therapy Program, you will be responsible for conducting clinical reviews of prior authorization requests, performing concurrent drug utilization review with program instructions, and providing general pharmacy information using the point-of-sale computer system established by the West Virginia Bureau of Medical Services (WVBMS) and the current point-of-sale computer system utilized by the PEIA program. Through this role, you will assist in carrying out Rational Drug Therapy Program’s mission to ensure WV Medicaid, WV PEIA, and CHIP members receive safe, rational, cost effective, and patient outcome-oriented drug therapy.%26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EWe strongly believe in work-life balance and keeping time for things we love outside our work. WVU offers generous benefits, including%5C:%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;37.5-hour work week%26nbsp;%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;13 paid holidays (%3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/holiday-schedule%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Estaff holiday calendar%3C/span%3E%3C/a%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E)%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;24 annual leave (vacation) days per year (%3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/time-off/ee-leave%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Eemployee leave%3C/span%3E%3C/a%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E)%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;18 sick days per year (for when you’re ill, for when you need time to care for sick family, for your own, or your family’s, regularly scheduled medical appointments. Who is family for the purpose of this leave? A lot of people in your life including immediate relatives and in-laws as well as others considered to be members of your household living under the same roof)%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;WVU offers a range of %3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/insurance-plans%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Ehealth insurance and other benefits%3C/span%3E%3C/a%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;401(a) retirement savings with 6% employee contribution match, eligibility to continue health insurance, and other retiree perks. Looking for %3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/retirement%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Emore retirement benefits information%3C/span%3E%3C/a%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E? Check out retirement health insurance benefits, retirement income, and FAQ’s.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;Wellness programs%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%3Cstrong%3EWhat You%27ll Do%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EProvide professional services to the WVBMS which include but are not limited to%5C:%3C/span%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ESupervised prior authorization clinical reviews%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EEvaluations of appropriateness of therapeutic duplications%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ERecommendations of appropriate formulary alternatives%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EConduct supervised reviews of home infusion therapy requests%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ELiterature reviews applicable to prior authorization requests%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EClinically evaluate the appropriateness of various infectious disease drug therapy regimens%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EEvaluate the clinical appropriateness of drug therapy approval with newly marketed medications as allowed by the program%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EEvaluate claims for accuracy of billing%3C/span%3E%3C/li%3E%3C/ul%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EReview individual prior authorization, drug utilization review, and billing inquiries and use clinical decision-making skills and therapeutic judgment to determine if claim payment can be approved.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EAcquire and maintain clinical knowledge and information on various disease states in which the program is involved via current, evidenced-based recommendations%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EReview inquiries from technical employees of the program and ascertain the clinical appropriateness of the outcome in comparison to the drug utilization evaluation against which the inquiry is being presented.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ERespond to inquiries in a friendly, professional manner.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EAssist in the orientation and training of all new professional and non-professional personnel. %26nbsp; %26nbsp;%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EWeekend staffing of the program as needed.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%26nbsp; %26nbsp;%26nbsp;%3C/span%3E%3Cbr%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E %3Cp class=%22MsoNormal%22 style=%22background-color%5C:white;line-height%5C:normal;margin-bottom%5C:0in;vertical-align%5C:bottom;%22%3E%3Cspan style=%22color%5C:black;font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%3Cspan style=%22mso-fareast-font-family%5C:%26quot;Times New Roman%26quot;;mso-font-kerning%5C:0pt;mso-ligatures%5C:none;%22%3EThe School of Pharmacy Department of Pharmaceutical Systems and Policy at West Virginia University is currently accepting applications for a Rational Drug Therapy Graduate Pharmacist%3C/span%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%3Cstrong%3EAbout the Opportunity%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EAs a Pharmacy Graduate Intern at Rational Drug Therapy Program, you will be responsible for conducting clinical reviews of prior authorization requests, performing concurrent drug utilization review with program instructions, and providing general pharmacy information using the point-of-sale computer system established by the West Virginia Bureau of Medical Services (WVBMS) and the current point-of-sale computer system utilized by the PEIA program. Through this role, you will assist in carrying out Rational Drug Therapy Program’s mission to ensure WV Medicaid, WV PEIA, and CHIP members receive safe, rational, cost effective, and patient outcome-oriented drug therapy.%26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EWe strongly believe in work-life balance and keeping time for things we love outside our work. WVU offers generous benefits, including%5C:%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;37.5-hour work week%26nbsp;%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;13 paid holidays (%3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/holiday-schedule%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Estaff holiday calendar%3C/span%3E%3C/a%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E)%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;24 annual leave (vacation) days per year (%3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/time-off/ee-leave%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Eemployee leave%3C/span%3E%3C/a%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E)%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;18 sick days per year (for when you’re ill, for when you need time to care for sick family, for your own, or your family’s, regularly scheduled medical appointments. Who is family for the purpose of this leave? A lot of people in your life including immediate relatives and in-laws as well as others considered to be members of your household living under the same roof)%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;WVU offers a range of %3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/insurance-plans%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Ehealth insurance and other benefits%3C/span%3E%3C/a%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;401(a) retirement savings with 6% employee contribution match, eligibility to continue health insurance, and other retiree perks. Looking for %3C/span%3E%3Ca href=%22https%5C://talentandculture.wvu.edu/benefits-and-compensation/retirement%22%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3Emore retirement benefits information%3C/span%3E%3C/a%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E? Check out retirement health insurance benefits, retirement income, and FAQ’s.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E•%26nbsp;%26nbsp;%26nbsp;%26nbsp;Wellness programs%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%3Cstrong%3EWhat You%27ll Do%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EProvide professional services to the WVBMS which include but are not limited to%5C:%3C/span%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ESupervised prior authorization clinical reviews%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EEvaluations of appropriateness of therapeutic duplications%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ERecommendations of appropriate formulary alternatives%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EConduct supervised reviews of home infusion therapy requests%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ELiterature reviews applicable to prior authorization requests%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EClinically evaluate the appropriateness of various infectious disease drug therapy regimens%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EEvaluate the clinical appropriateness of drug therapy approval with newly marketed medications as allowed by the program%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EEvaluate claims for accuracy of billing%3C/span%3E%3C/li%3E%3C/ul%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EReview individual prior authorization, drug utilization review, and billing inquiries and use clinical decision-making skills and therapeutic judgment to determine if claim payment can be approved.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EAcquire and maintain clinical knowledge and information on various disease states in which the program is involved via current, evidenced-based recommendations%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EReview inquiries from technical employees of the program and ascertain the clinical appropriateness of the outcome in comparison to the drug utilization evaluation against which the inquiry is being presented.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3ERespond to inquiries in a friendly, professional manner.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EAssist in the orientation and training of all new professional and non-professional personnel. %26nbsp; %26nbsp;%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3EWeekend staffing of the program as needed.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%26nbsp; %26nbsp;%26nbsp;%3C/span%3E%3Cbr%3E%3Cbr%3E%3Cspan style=%22font-family%5C:Arial, Helvetica, sans-serif;font-size%5C:14px;%22%3E%26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E

Bachelor's degree in Pharmacy or Doctor of Pharmacy Degree.
A minimum of one (1) year of directly related experience in a retail pharmacy setting (either as a technician, intern or pharmacist) preferred but not required. Experience in other pharmacy settings would also be taken into consideration but not required.
All qualifications must be met by the time of employment.

Knowledge, Skills and Abilities

Demonstrated ability to make valid clinical judgments concerning a patient's drug therapy needs, given the guidelines of the program.
Demonstrated excellent verbal and written communication skills.
Demonstrated ability to work as a team player and make constructive suggestions to appropriate peers and supervisors.
Exhibits excellent customer service skills and orientation.
Exhibits excellent skills in handling difficult persons.
Demonstrates knowledge of appropriate drug use in most common disease states.
Exhibits a strong understanding of retail pharmacy operations and insurance billing processes associated with retail pharmacy operations.
Demonstrated excellent computer data entry, software (Windows based), and typing skills.
Ability to follow guidelines and convey information in an accurate manner.
Exhibits the flexibility and the ability to work with different insurance plans and different guidelines.
Demonstrates the ability to perform duties in compliance with WVU HIPAA and patient confidentiality requirements.
Ability to maintain proper unit attendance and punctuality standards.

Bachelor's degree in Pharmacy or Doctor of Pharmacy Degree.
A minimum of one (1) year of directly related experience in a retail pharmacy setting (either as a technician, intern or pharmacist) preferred but not required. Experience in other pharmacy settings would also be taken into consideration but not required.
All qualifications must be met by the time of employment.

Knowledge, Skills and Abilities

Demonstrated ability to make valid clinical judgments concerning a patient's drug therapy needs, given the guidelines of the program.
Demonstrated excellent verbal and written communication skills.
Demonstrated ability to work as a team player and make constructive suggestions to appropriate peers and supervisors.
Exhibits excellent customer service skills and orientation.
Exhibits excellent skills in handling difficult persons.
Demonstrates knowledge of appropriate drug use in most common disease states.
Exhibits a strong understanding of retail pharmacy operations and insurance billing processes associated with retail pharmacy operations.
Demonstrated excellent computer data entry, software (Windows based), and typing skills.
Ability to follow guidelines and convey information in an accurate manner.
Exhibits the flexibility and the ability to work with different insurance plans and different guidelines.
Demonstrates the ability to perform duties in compliance with WVU HIPAA and patient confidentiality requirements.
Ability to maintain proper unit attendance and punctuality standards.

Eligible for Licensure/Registration in WV and willing to complete all required testing to attain Licensure.

Eligible for Licensure/Registration in WV and willing to complete all required testing to attain Licensure.

West Virginia University is a place of purpose and community. We take pride in our profound impact on the state of West Virginia and are committed to the personal and professional growth of our employees.

From the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures.

At WVU, you will discover a supportive community that champions work-life balance and fosters a collaborative atmosphere. Our core values — service, curiosity, respect, accountability and appreciation — unite us as Mountaineers.

Join us at West Virginia University, where your work will make a lasting impact. To learn more about WVU, visit wvu.edu.

West Virginia University is an Equal Opportunity Employer. We invite all qualified applicants regardless of race, color, religion, sex, national origin, age, disability, genetic information, or Veteran status.

Join us at West Virginia University, where your work will make a lasting impact. To learn more about WVU, visit wvu.edu.

Job details are sourced from the employer's original posting.

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West Virginia University

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