This post-graduate first year residency (PGY-1) in Managed Care is an innovative postgraduate program of clinical experience in the managed care setting. The managed care resident will gain a broad range of experience within a Coordinated Care Organization (CCO) with multiple practice settings. As a member of an assigned CCO Clinical Advisory Board, residents work closely with providers, support staff, medical residents and community partners. The resident pharmacist will participate in the direct management of high-risk Medicaid and Medicare patients. Clinical interventions may include but are not limited to: telephonic or face-to-face MTM, initiating and modifying medication therapy, ordering labs, and providing patient as well as provider education. Preceptors and/or attending physicians are always available for consultation. In addition, residents are involved in managed care research, education, committee work, leadership development, and stewardship activities within the CCO, which will help build practice leadership skills. In addition, the curriculum allows the pharmacist to pursue specific interests that best complement their career goals. This is achieved by choosing from a variety of core and elective clinical rotations that are structured to build upon previous learning experiences. Clinical expertise in other subspecialty areas will be developed through elective rotations in additional specialized clinic settings. Other opportunities for the resident may also include precepting Doctor of Pharmacy students, as well as professional advocacy through state and national associations.
Essential Position Functions
Establish a collaborative, interdisciplinary practice
Provide evidence-based, patient-centered treatment for chronic illnesses
Demonstrate leadership and practice management skills
Promote health improvement, wellness and disease prevention
Demonstrate excellence in training and education
Serve as an authoritative resource for the best use of medication
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 assigne
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
Essential Department and Organizational Functions
Propose and implement process improvements
Meet deadlines for completion of daily, weekly and month-end reporting
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
Perform other duties and projects as assigned
Knowledge, Skills and Abilities Required
Demonstrated ability to effectively apply pharmacotherapy knowledge throughout residency.
Demonstration of strong verbal and written communication skills as well as analytical skills.
Demonstration of a strong commitment to pursuing a leadership role in managed care pharmacy.
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 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
Employees in this position are subject to drug screening, as well as a physical and vaccination assessment
Education and/or Experience
Anticipated graduation from an accredited school of pharmacy with a Doctor of Pharmacy as the terminal degree prior to the start of the residency.
Academic transcripts from any and all colleges attended, including strong academic background in therapeutics and pharmacology.
Strong performance on clerkship rotations (GPA greater than or equal to 3.0 highly recommended).
Valid, current pharmacist intern license and BLS or ACLS certification from American Heart Association before employment start date.
Valid, current license to practice pharmacy in Oregon (licensure is expected by the start of the residency year to maximize learning, but no later than September 30th).
Residents will be expected to maintain professional membership in ASHP and other professional organizations pertinent for advocacy within the PGY-1 program.
Examples of extra effort and initiative via extra-curricular activities, special projects, or unique work experiences.
Successful completion of all graduation requirements as specified by the Residency Program Director in order to be eligible for graduation.
Successful completion of the pre-employment process. This includes, but is not limited to, the following:
A letter of interest describing why you have chosen to complete a PGY-1 residency and why you are specifically interested in the residency at CareOregon (please include an e-mail address in this letter).
Three letters of recommendation from faculty or work supervisors. At least two must be familiar with your clerkship, as well as your internship and/or residency performance.
An official transcript of all course work completed in any and all post-secondary education.
A current curriculum vitae.
One professional writing sample (e.g., newsletter, published manuscript, drug monograph/review, etc.).
Verification of all required licenses and certifications.
Proof of a legal right to work in the United States.
Successful completion of a post-offer physical exam, which includes a drug and alcohol screen, a physical and a TB test.
Medical documentation of vaccination history before the employment start date.
Successful completion of a background check.
The individual in this position is expected to possess a high degree of initiative and motivation along with the ability to effectively collaborate with co-workers and others. The individual will be in contact with a variety of professional and technical staff and must be customer service oriented and able to function under potentially tight timelines.
Personal computer, calculator, and other standard office equipment for recording, storing and presenting information.
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