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GENERAL SUMMARY OF POSITION: 

Under the direct supervision of the Associate Director or designee, the Pharmacy Associate I functions as a team member of the outreach programs within Clinical Pharmacy Services (CPS). CPS  is responsible for administering client-specific programs to provide clinical pharmacy expertise with regard to member prescriptions. This position will handle live calls from members and occasionally prescribers and pharmacists to provide information regarding client initiatives.  The incumbent of this position may also review requests for Medication Therapy Management and prior authorization under the guidance of a licensed pharmacist.

This position may be eligible for some work-from-home shifts, subject to Clinical Pharmacy Services and UMMS Flexible Work Options Policies. All approved flexible work proposals must contain an initial trial period.  Thereafter, a scheduled periodic review of the flexible work arrangement is required. At the end of the trial period, the manager and the employee shall assess if the arrangement will continue. A flexible work arrangement may be terminated by either UMASS Medical School or the employee at any time. However, absent compelling reasons, at least two full payroll periods notice should be given. 

MAJOR RESPONSIBILITIES:

• Handle outbound and inbound phone calls to members, prescribers and pharmacists regarding client specific work.
• Record call information into a phone/pharmacy system or a client specific database.
• Perform support tasks specific to the outreach programs within CPS including obtaining appropriate information from client or internal database(s).
• May provide real time information via telephone to physicians and pharmacists regarding questions concerning initiatives involving member prescriptions.
• Review clinical documentation against applicable criteria submitted by prescribers to determine approval or denial of requests for prior authorization.
• Decide in real time via telephone communications with pharmacies the authorization of denial of certification requests for prescription medications.
• Assist CPS staff with data entry and monitoring/researching member profiles for client projects and ad hoc reports.
• May assist CPS consultant pharmacist with obtaining and disseminating information concerning upcoming appeals.
• Participate in quality improvement initiatives within CPS.
• Attend CPS staff meetings and in-service programs as requested.
• Perform other duties as required.

REQUIRED QUALIFICATIONS:

• Certification with no pharmacy experience or 1 year pharmacy or drug utilization review experience

PREFERRED QUALIFICATIONS:

• Bilingual preferred
• Prior customer service experience