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Job Summary

Company
Anthem
Location
Fort Worth, TX
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_139859

Pharmacist Primary Care CareMore an Anthem, Inc., co Dallas/Ft.Worth area# 139859

About the Job

Description

Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it's a powerful combination. It's the foundation upon which we're creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Clinical Pharmacist, Primary Care

What Is CareMore?

CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve over 150,000 patients in eight states across Medicare, Medicaid, and commercial populations. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America's largest managed healthcare organizations.

CareMore's Primary Care & Collaboration division oversees strategy, operations, and care delivery in our primary care markets (Iowa, Tennessee, Connecticut), where CareMore builds and runs capitated primary care medical groups and currently serves over 22,000 high-risk Medicaid and Medicare patients, as well as our collaboration with Emory Health System, which brings the CareMore model to over 20,000 Medicare Advantage patients in Georgia. The division also supports the development of new markets and models in the Primary Care & Collaboration area, including multiple new markets planned in 2018 and 2019. Our comprehensive approach to care includes extensivists managing acute and post-acute episodes of care, primary care clinicians, behavioral health clinicians, care management & engagement with case managers and community health workers, and mobile home-based care. We are continuing to evolve our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission.

You can learn more about CareMore's transformative approach to care here:

Clinical Pharmacist, CareMore Primary Care is a licensed pharmacist with a doctor of pharmacy degree and American Society of Health Systems pharmacist accredited residency and has any one of the listed board certifications. The pharmacist performs a variety of job functions in an ambulatory care clinic setting relating to the direct care of Medicaid patients.

Core Competencies

  • Ability to work collaboratively with an interdisciplinary team to provide pharmaceutical care to members by conducting Comprehensive Medication Reviews (CMR) for preferred drug list, polypharmacy, drug allergies, clinical effectiveness, cost effective drug selection, dose optimization, contraindications, adverse effects, potential drug interactions, therapeutic outcomes and adherence
  • Willingness to operate in an ambiguous environment, without continuous supervision
  • A collaborative team member, effective communicator, and coach for direct reports and other members on the team

Essential Duties and Responsibilities

  • Provide direct care to patients in clinic to initiate and prescribe new drug therapy, adjust, monitor or discontinue existing therapy under approved protocol for selected disease states including diabetes, CHF, COPD, hypertension, and hyperlipidemia
  • Review medication regimen with patient, in person or telephonically
  • Review pharmacy utilization reports to determine appropriate plan for pharmacy management, as applicable
  • Facilitate medication management to meet quality requirements
  • Participate in development of educational lectures and materials for CareMore clinical staff and patients
  • Partners with local in-network pharmacies for coordination in care and collaboration to meet patient needs.
  • Answer inquiries from physicians and nurse practitioners regarding clinical appropriateness, current guidelines and new drugs
  • Support pharmacy initiatives to improve quality outcomes and lower medication cost to members and organization
  • Understand and present reports on drug utilization and cost to providers and regional management
  • Serve as a member of the interdisciplinary care team

Work Location & Travel Expectations

Based in local market area.

Qualifications

  • 1 year or more of ambulatory care pharmacy experience including clinical practice (direct patient care) primary care experience AND American Society of Health Systems Pharmacists accredited residency
  • Board certified in BCACP, BCPS or BCGP required
  • Degree in Doctor of Pharmacy (PharmD.)
  • Board of Pharmacy Pharmacist License in required
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 Diversity, Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

 

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