• Medication therapy management, including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy as indicated, documenting interventions;
• Have the ability to review patients' clinical chart information and determine the appropriateness of requested treatment

• Prepares and dispenses medications by reviewing and interpreting physician orders; detecting therapeutic incompatibilities; 

• Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations. 

• Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care. 

• Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states. 

• Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes. 

• Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate. 
• Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate.  
• Monitor and review prior authorization requests for medications;
• Develop clinical criteria and medical policies for the review of medications;
• Ensure all clinical criteria is in regulatory compliance with Center of Medicare and Medicaid Services (CMS) and the NJ Division of Consumer Affairs
• Ensure all clinical criteria is in clinical compliance with guidance from the Food and Drug Administration (FDA), clinical guidelines, and appropriate evidence-based literature.
• Manage, organize, and update relevant data using database applications;
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards;
• Identify trends, resolves problems; recommend improvements; implements change;
• Actively participates in process improvement initiatives;
• Protects organization's value by keeping information confidential;
• Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;
• Willing to do whatever is necessary for the betterment of the Company;
• Other duties as assigned;

Experience/Education:

• Required Licensure/Certification: Applicant must hold a Doctor of Pharmacy (PharmD) and be a licensed Pharmacist in the state of New Jersey .