Pharmacist Consultant (Call Center) - CarelonRx
Core
Evaluate member prescription needs and therapies by reviewing medication history to ensure appropriateness and compliance with plan standards.
Role type
Licensed Pharmacist Consultant (Call Center)
Builds
Disease management programs and physician care plans
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
Drug therapy evaluation, medication history review, member contact, physician consultation, barrier identification, national standards knowledge
Preferred skills
Call center experience, computer skills
Responsibilities
Review medications with physicians when therapies do not meet national standards and counsel on alternatives; Assess member compliance with plan through direct contact with members and their physicians; Determine potential barriers to compliance and identify solutions; Provides evaluation of member Rx needs and therapies through review of medication history; Ensures that members understand appropriate use of current prescriptions; Serves as a resource to the clinical team in disease management and other clinical areas.