Clinical Pharmacist - Maryland Medicaid (Hybrid)

**Resp \& Qualifications** **PURPOSE:** The Clinical Pharmacist will perform comprehensive clinical services involving oversight of clinical programs and processes to comply with program guidelines and requirements. Responsibilities will include but not are limited to; drug formularies, utilization management, clinical drug evaluations, development of drug management tools, and oversight of delegated programs. The Clinical Pharmacist may also perform patient education, medication counseling, drug therapy monitoring, and chronic disease state management for patients in clinical programs. **ESSENTIAL FUNCTIONS:** * Tracks productivity, quality, impact, and overall performance of clinical pharmacy programs, formularies, and/or utilization management. Identifies areas where program modifications could result in improvements to patient outcomes and reduce costs. Works collaboratively with vendors, PBMs, and internal parties for oversight of programs and performance management. * Performs data collection of members to identify referrals for clinical pharmacy programs as well as telephonic therapeutic consultations to patients and/or prescribers. Completes a pharmacotherapy assessment of patient's claims, past medical history and disease states. Provides clinical recommendations pertaining to, but not limited to, adverse events, therapeutic duplication, adherence to therapy, polypharmacy, high risk medications, therapeutic substitution, and untreated disease or conditions. Utilizes formulary information and member specific benefits to guide appropriate medication recommendations. Develops a plan of care that details actions of the patient and/or prescriber based on the Pharmacotherapy assessment. * Develops and provides formal written and verbal presentations or other communication materials related to clinical pharmacy programs, pharmacy utilization, pharmacy strategy, and pharmacy topics to a broad audience including both internal and external stakeholders.