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Pharmacy Utilization Management *Boynton Beach,FL*

Company: NYU Langone Health
Location: Boynton Beach
Posted on: November 26, 2022

Job Description:

NYU Langone Health -is a world-class, patient-centered, integrated academic medical center. Ranked as the #1 Hospital in New York and the #3 Hospital in the nation by U.S. News & World Report, NYU Langone's culture is rooted in excellence in patient care, education, and research. - NYU Langone comprises more than 300 locations throughout the New York area, including -six inpatient locations, -a children's hospital, -three emergency rooms -and a level 1 trauma center. Also part of NYU Langone Health is the -Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and -NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. -For more information, go to, and interact with us on -LinkedIn, -Glassdoor, -Indeed, -Facebook, -Twitter, -YouTube, and -Instagram.Position Summary:
We have an exciting opportunity to join our team as a Pharmacy Utilization Management *Boynton Beach,FL*.
In this role, the successful candidate Pharmacy Utilization Management Coordinator contributes to improved health outcomes for patients by collaborating with Faculty Group Practice physicians, voluntary physicians and attributed patients to advise and educate on issues regarding medication. In collaboration with and under the direction of the Pharmacy Utilization Management Manager, this position will drive strategies to improve health outcomes, enhance quality of care and manage costs. This position will work with providers, patients and cross-functional teams across the enterprise to develop effective programs to achieve medication quality targets for shared savings and at risk contracts through NYUPN Clinically Integrated Network and NYU Langone IPA.Job Responsibilities:

  • Identify and develop methods to optimize patient outcomes related to medication quality measures -
  • Review charts, analyze claims and work with physicians and health plans to review medications for appropriateness, duplications, adherence and compliance, while consulting with patients as necessary
  • Develop strategies and targeted interventions to manage high cost drug utilization and improve prescribing practices
  • Partner with prescribers to improve utilization by providing recommendations and education
  • Collaborate with registered nurse Clinical Care Coordinators to refer patients for health coaching, receive referrals and perform medication coaching/reconciliation
  • Visits practices on regular basis to discuss data and trends
  • Assist physicians with individual clinical decision making as requested
  • Develop clinical interventions, educational programs, tools, policies and clinical guidelines to support disease management and improve medication appropriateness
  • Identify resources and community partners to support disease management initiatives and patient adherence
  • Provide pharmacy support to internal/external healthcare professionals as subject matter expert
  • Identify and discuss medication utilization trends with prescribers, and propose interventions to improve performance
  • Conduct comprehensive medication reviews/medication reconciliation for patients referred by clinical team or identified by trigger reports
    • Report outcomes, and trend analyses to appropriate clinical committees for NYUPN and NYU Langone IPA
    • Develop clinical interventions, track activity, performance improvement and identify new opportunities relating to medication adherence and utilization
    • Demonstrates knowledge of the organization's Service Standards and incorporate them into the performance of duties
    • Coach, mentor and precept pharmacy students and residents
    • Sees professional development opportunities and participates in projects/activities to maintain professional competence (seminars, journals, 15 hours of continuing education credit per year required by NYS)
    • Ensure compliance with all regulations
    • Perform other duties as assignedMinimum Qualifications:
      To qualify you must have a NYS and FL Pharmacy License and Registration. Advanced degree in pharmacy related field e.g. Pharm.D., MS, MBA, MPH
      Three years of relevant experience in Managed Care/ACO/PBM/Medicaid/Government Programs. Strong written and presentation skills. Strong computer knowledge and data analytics (Excel, PowerPoint, Access, Word). Project and resource management. Creative thinking and problem solving. Knowledge of clinical best practices for optimizing medication use.
      Required Licenses: USA-Other States Pharm License, Pharmacist License-NYSPreferred Qualifications:
      Pharmacy residency, Bilingual in SpanishNYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
      If you wish to view NYU Langone Health's EEO policies, please -click here. Please -click here -to view the Federal "EEO is the law" poster or visit - -for more information. To view the Pay Transparency Notice, please -click here.

Keywords: NYU Langone Health, Boynton Beach , Pharmacy Utilization Management *Boynton Beach,FL*, Executive , Boynton Beach, Florida

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