Pharmacy Specialist Job Description
Pharmacy specialist
provides expertise in the identification of certain disease states and population cohorts via either medical or pharmacy codes.
Pharmacy Specialist Duties & Responsibilities
To write an effective pharmacy specialist job description, begin by listing detailed duties, responsibilities and expectations. We have included pharmacy specialist job description templates that you can modify and use.
Sample responsibilities for this position include:
Assist with the preparation of pharmacy data reports and analysis
Participate in the decision making process for Prior Authorization and grievances and appeals processes related to pharmacy claims
Participate in multidisciplinary clinical rounds by working up members’ medications for potential medication-related issues
Serve as medication management expert for other members of the team
Respond to, research and resolve any problems related to member complaints regarding Pharmacy Benefit Manager (PBM) clinical pharmaceutical services
Serve as a clinical pharmacy resource for clinical staff with medication management questions or pharmaceutical problems
Assist Pharmacy Services Manager in the development, provision and maintenance of drug research resources and other educational materials
Deliver pharmacy-related education and training including new employee orientation
Supports corporate vital level customers, buying group and GPOs related to pricing errors, contract loading, forms and document follow up, quality assurance, pricing integrity, terms consistency, contract pricing issues, product availability support and stocking requests
Assist with sales and marketing by drafting proposals, presentations, exhibits, RFPs
Pharmacy Specialist Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Pharmacy Specialist
List any licenses or certifications required by the position: BPS, BLS, IV, PALS, ACLS, PTCB, BCOP, NHA, GHX
Education for Pharmacy Specialist
Typically a job would require a certain level of education.
Employers hiring for the pharmacy specialist job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and High School Degree in Pharmacy, Education, School of Pharmacy, Graduate, Science, Department of Education, English, Foreign Language, Healthcare, Management
Skills for Pharmacy Specialist
Desired skills for pharmacy specialist include:
Medical terminology
Therapeutic interventions and other cost containment programs
Sales processes
Emergency medications
Ability to relate this information to the patient's medical management plan
Current pharmacological/biopharmaceutical principles
Federal and State laws and regulations regarding the provision of pharmaceutical services
Pathologies and disease states
Aseptic technique and the ability to prepare sterile IV products and chemotherapeutic agents
Biostatistics
Desired experience for pharmacy specialist includes:
Conduct projects as determined by clients or consultants
Facilitates the development of medication documentation and ordering systems with other disciplines
Ensures ongoing development of automated decision support tools related to the safe and effective use of medications
Assist users to modify processes to allow for implementation and efficient use of the clinical information system based on knowledge of clinical practice, patient care standards, elements of good service, and cost effective/efficient measures
Identifies computer capabilities and needs of clinical departments, and assures that the objectives and goals of the clinicians are communicated, and supported by the system and process improvements are implemented
Integrate the design of the medication use documentation systems across disciplines utilizing clinical knowledge
Pharmacy Specialist Examples
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Pharmacy Specialist Job Description
Job Description Example
Our company is growing rapidly and is hiring for a pharmacy specialist. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for pharmacy specialist
- Communicates timely and accurately to the appropriate committees, project team members and clinicians
- Follow detailed instructions when setting up and maintaining networks and plans
- Monitor the pharmacy generic mailbox account and the customer service log for incoming requests which they analyze for completeness and understanding, obtain further clarification as needed, and complete the request
- Take the appropriate action to ensure customer performance guarantees are met
- Provide standard and ah-hoc reporting to customers
- Assist in gathering pharmacy network requirements during a new customer implementation
- Supports corporate strategic level customers, buying group and GPOs related to pricing errors, contract loading, forms and document follow up, quality assurance, pricing integrity, terms consistency, contract pricing issues , product availability support and stocking requests
- Supports decisions related to overall customer strategic services offerings included within ongoing relationship
- Provides escalation support within the Strategic Services Specialist organization to support the overall customer relationship
- Proactively produce, identify and analyze purchasing trends within strategic customer base and escalate to appropriate internal and external stakeholders
Qualifications for pharmacy specialist
- Two years working in an acute care setting as a Pharmacist and/or Pharmacy Informatics Specialist, or have completed a residency in Pharmacy Informatics
- Physical demands include periods of standing and walking
- Dexterity sufficient to perform computer functions and communication via telephone
- May be required to lift and transport up to ten pounds
- Requires normal or corrected vision
- Required 1+ year of experience in In a call center or customer service environment
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Pharmacy Specialist Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of pharmacy specialist. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for pharmacy specialist
- Evaluate orders to verify dosage, dosage regimen and quantity to be dispensed
- Provide instructions to patients regarding medication consumption and side effects
- Perform quality control checks on medications
- Create and evaluate policy, procedure, and training materials regarding operational workflow of designated area
- Identify patient needs and ensure coverage of medication on their insurance plan
- Obtain initial and renewal insurance authorization for specialty medications as required by insurance plans
- Ensure patients’ specialty prescriptions are sent to the appropriate pharmacy for fulfillment along with any co-pay assistance documentation
- Develop a process for tracking prior authorizations and appeals
- Evaluate Patient Assistance Program software for documentation and tracking applications, renewals, and patient communication including developing an ROI, budget proposal and implementation plan
- Develop processes for products with a Risk Evaluation and Mitigation Strategy (REMS) program for specialty pharmaceuticals
Qualifications for pharmacy specialist
- Preferred 1+ year of experience in Experience in healthcare environment (pharmacy operations, managed care, hospitals and/or retail environments)
- Beginner Other Ability to use pharmaceutical references
- Beginner Other Working knowledge of prescription medications and pharmacotherapy
- Intermediate Other Ability to follow direction
- Minimum five (5) years of working experience in health care including Pharmacy and Administration
- Minimum three (3) years of experience in quality
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Pharmacy Specialist Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of pharmacy specialist. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for pharmacy specialist
- GHX Order Center certification preferred for Materials Management departments
- Current clinical certification and/or license for buyers supporting clinical areas
- Provide data reports, data-mining, spreadsheets, and analysis on an ad-hoc basis for PSAO/chain pharmacy customers to verify the status of contracts sent, completed, and returned on file
- Mentor and offer assistance and guidance to Pharmacy Network Development Specialists
- Processes and/or communicates multiple types of pharmacy benefits including coordination of benefits, direct member reimbursements, coinsurance benefits and mail order prescriptions
- Receives incoming calls from members, providers, facilities, employer groups, and other departments
- Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments
- Consistently demonstrates excellent customer service skills including problem solving, telephone etiquette, and responsiveness to customers
- Ensures that all department standards and expectations are met pertaining to call statistics, production, documentation, and quality/accuracy
- Efficiently and quickly addresses and solves problems on phone calls
Qualifications for pharmacy specialist
- Proven experience handling difficult encounters and/or service breakdowns
- Ability to adapt quickly to challenging and changing environments
- Ability to work with interdisciplinary groups to affect a patient safety focused outcome
- Ability to train, give and receive instructions
- Excellent analytical and problem solving skills, including data manipulation, review and presentation
- Willing to travel 25% of the time within the region
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Pharmacy Specialist Job Description
Job Description Example
Our growing company is looking for a pharmacy specialist. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for pharmacy specialist
- Efficiently and accurately enters overrides for pharmacy claims
- Meets or exceeds aux code standards for the department
- When assigned, assists in the payment of claims for both members and pharmacies while maintaining accuracy standards
- Completes and analyzes specialized reports that are used to ensure timely and accurate claims adjudication
- Works closely with the operation and pharmacy teams to educate the staff and resolve problems
- Maintains the confidentiality of member's personal information to be compliant with internal confidentiality policy
- Maintains customer history in member tracking using correct codes and detailed comments
- Collaborate with Business and Support Partners across the organization to drive both short term and long-term Rx inventory management solutions
- Execute day-to-day Rx inventory support activities and react to business issues and needs as they arise
- Support the Field Managers and Pharmacists in all processes, issues and rollouts as they relate to Rx Inventory Management
Qualifications for pharmacy specialist
- Proven research capabilities utilizing written and computer reference materials, including facility library reference materials, professional references, Intranet and Internet sites and outside reference facilities
- Practice experience to include knowledge of IV admixture, compounding, technician functions and cashiering in the ambulatory care pharmacy
- Able to facilitate Root Cause Analysis and Failure Modes Effects Analysis on issues identified for evaluation/education
- Able to handle stress relative to rush projects and meeting deadlines, work under pressure in a highly productive office, and set priorities
- Able to support implementation of departmental and organizational process changes, policies and procedures, and audits
- Proficient in KPNW systems, including Pandora and KP HealthConnect
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Pharmacy Specialist Job Description
Job Description Example
Our company is looking for a pharmacy specialist. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for pharmacy specialist
- Electrical schematic and mechanical drawing interpretation
- Data tracking and analysis of cell failures
- Power and communication cable repair and assembly
- Participating in Change Control processes and test plans
- Participate in Six Sigma projects and process improvement efforts
- Create and complete work orders as assigned
- Monitor and maintain process oversight as related to the Tier 1 process
- Provide feedback on Tier 1 technician performance and technical skills
- Mentor and train Tier 1 technicians as needed
- Other duties as may be assigned by manager/supervisor
Qualifications for pharmacy specialist
- Strong working knowledge and development of databases
- National Pharmacy Technician Certification preferred
- Excellent communication, planning, organizing and leadership skills
- Experience with automated pharmacy delivery systems, especially Pyxis
- Excellent verbal, written and computer (Microsoft Office)
- Knowledge of hospital pharmacy and medication distribution throughout hospitals a plus