This pharmacist reviews prior authorization requests (PARs), performs retrospective drug utilization reviews and assists with complex pharmacy case management. This individual is responsible for the coordination and expansion of the Medication Therapy Management (MTM) program. The incumbent identifies, develops and maintains clinical criteria for prior authorizations, step therapy and MTM initiatives. In addition, they will participate in other projects as assigned and act as a liaison to the DHMP contracted providers and pharmacies.
Education: BSPharm and/or PharmD
Experience: Typically two years of direct clinical experience or as a prior authorization pharmacist or completion of a pharmacy residency program with direct patient contact including: conducting medication therapy management reviews, providing drug information, providing dosing and drug modifications as well as recommending formulary alternatives. The candidate must work well in a team environment and possess strong verbal and written communication skills. Certification in Geriatric Pharmacy and/or Managed Care, Medicaid/Medicare guidelines is a plus. The individual must be capable of providing educational training to nurses, staff and/or patients when requested. Bilingual English/Spanish preferred.
Knowledge, Skills & Abilities: Critical thinking, clinical evaluation, verbal communication, written communication and teamwork skills Ability to multi-task; develop guidelines; prioritize and meet regulatory requirements.
Certificate/License/Registration: The applicant must be an actively licensed pharmacist by the
Colorado State Board of Pharmacy at the time of application.
Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 500-bed acute care medical center, Denver’s 911 emergency medical response system, eight family health centers, 13 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, an off-site 100 bed non-medical detoxification unit and The Denver Health Foundation.
As Colorado’s primary safety net institution, Denver Health is a mission-driven organization that has provided more than $4 billion in care for the uninsured since 1991. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving thirty percent of all Denver residents, or approximately 160,000 individuals and 40% of Denver’s children.
Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
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