Network Health WI · 1 month ago
Pharmacist
Brookfield, Wisconsin, United States
Full-time
Hybrid
Mid Level
3+ years expNetwork Health WI is seeking a Pharmacist to provide clinical support for their pharmacy and health management efforts. The role includes responsibilities such as case management, medication therapy management, and collaborating with other departments to ensure regulatory compliance and quality measures.
Financial ServicesFitnessHealth CareInsurance
Responsibilities
Assist with Commercial compliance workplan oversite
PBM follow up regarding claim audits (benefit change forms, member, reimbursement/ recoupments, follow up audits to monitor effectuation of changes)
Participate in case management, disease management and poly-pharmacy for NHP patients with extraordinary high drug costs, including related services
Assist in providing physician education in areas of potential improvement i.e., create articles for pharmacy newsletter for NHP providers, speak to medical departments regarding drug issues, speak to individual NHP providers regarding drug issues including those for individual NHP members, participate in appropriate quality improvement projects, etc
Assist with Concurrent DUR, Retrospective DUR, and MTM programs
Assist with formulary management and identifying UM criteria
Performs other duties and responsibilities as assigned
Qualification
Required
Bachelor of Science in Pharmacy required
Current licensure without restriction by the State of Wisconsin Pharmacy Examining Board required
A minimum of 3 years clinical experience required
Drivers license required
Preferred
Residency/fellowship preferred
Managed care experience desirable
Prefer experience in at least one of the following areas: Medication Therapy Management Programs
Prefer experience in at least one of the following areas: Long Term Care Pharmacy consulting
Prefer experience in at least one of the following areas: Decentralized hospital pharmacy services
Company
Network Health WI
At Network Health, we do what’s right, even when it isn’t easy. We’re honest and hardworking, just like you, Wisconsin.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Brian Ollech
Chief Financial Officer
Mike Lappin
Chief Legal & Strategy Officer
Company data provided by crunchbase