To protect the health and well-being of our members, employees and community, CareOregon requires all employees to be fully vaccinated against COVID-19 or have an approved medical or religious exception as a qualification of employment.

Candidates who receive an offer of employment by CareOregon, must provide proof of COVID-19 vaccination or submit a medical or religious exception request, which will be evaluated in accordance with CareOregon’s standard accommodation process.

Position Title: Ambulatory Care Clinical Coordinator

Department: Pharmacy

Title of Manager: Senior Manager, Pharmacy

Supervises: Non-Supervisory

Exemption Status: Exempt

Requisition ID: 22309

Remote with a Monday through Friday schedule. No holidays or weekends.

General Statement of Duties

The Ambulatory Care Clinical Coordinator (pharmacist) is responsible for providing care coordination within the greater Portland Area. Responsibilities include supporting the patient-centered medical home, incorporating principles of population-based medicine, expanding and coordinating the expansion of pharmaceutical care services to patients across the health-system through primary care clinics, community pharmacies, or other designated environments. The pharmacist needs to demonstrate consistent application of knowledge and skills related to pharmacy benefits, quality measures, and other initiatives in order to communicate, partner, and deliver appropriate, safe, efficient, and cost-effective patient care as part of a multidisciplinary team. Care Coordination: This position is responsible for coordinating effective use of the pharmacy benefit by delivering clinical and educational interventions designed to improve pharmaceutical care.

Essential Position Functions

• Support and conduct quality improvement programs related to the pharmacy program.
• Support and implement clinical educational programs to improve drug utilization and quality.
• Support and conduct educational initiatives to improve prescribing patterns for quality and/or cost opportunities to support sustainable cost trends with the highest quality.
• Critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives.
• Support, develop, and conduct retrospective drug use reviews.
• Leading the design, development, and implementation of quality improvement initiatives related to the pharmacy program will be an important aspect of this position.
• Review medication prior authorization requests and appeals as assigned.
• Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others as applicable.
• Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee and other pharmacy program activities as assigned.
• Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit.
• Consult with clinicians and pharmacists to resolve pharmacy benefit issues.
• Precept pharmacy students and residents.

Essential Department and Organizational Functions

• Propose and implement process improvements.
• Meet deadlines for completion of workload.
• Maintain agreed upon work schedule.
• Demonstrate cooperation and teamwork.
• Provide cross-training on specific job responsibilities.
• Meet identified business goals that contribute to departmental goals.
• Follow established departmental policies and procedures.
• Perform other duties and projects as assigned.

Knowledge, Skills and Abilities Required

• Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
• Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine
• Ability to design and review pharmacy claims analysis/reports according to specific project requirements
• Must have comprehensive, clinical pharmaceutical knowledge base
• Must be highly motivated and have the ability to work independently
• Excellent organizational, project management, and time-management skills
• Excellent written and verbal communication skills
• Excellent customer service skills
• Ability to work with diverse groups
• Ability to manage multiple tasks
• Ability to negotiate, problem-solve, and consensus-build
• Basic word processing, spreadsheet, and database skills

Physical Skills and Abilities Required

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Required:

• Graduate of an accredited pharmacy program
• Current (or eligible) unrestricted licensure as a pharmacist in the state of Oregon
• Advanced pharmacy training (Residency, fellowship, board certification or master’s degree in related discipline)
• Practical experience with minimum 2 years as a clinical pharmacist in pharmaceutical care management in an ambulatory care or other clinical setting (which can include residency experience)

Preferred:

• PGY1 residency training
• Foriegn language skills preferred

Working Conditions

• Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

• Inside/office Clinics/health facilities Member homes

• Other_________________________________________

• Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
• Equipment: General office equipment
• Hazards: n/a

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.