Clinical Pharmacist

About Blue Cross NC

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Position Summary

We're seeking a Clinical Pharmacist to join our team! You will engage Medicare members, pharmacies, and providers to close adherence and SUPD (Statin Use in Persons with Diabetes) gaps. The Clinical Pharmacist also completes Comprehensive Medication Reviews (CMRs) with Medicare members.

Note: The designated shift for this position will be 10 AM - 7 PM EST (Monday - Friday)

What You'll Do

• Make outreach to Medicare members to assist in removing barriers to medication adherence.
• Partner with pharmacies and providers to close adherence gaps when the Medicare member is unengaged or when the Medicare member requires assistance.
• Contact providers to close SUPD (Statin Use in Persons with Diabetes) gaps.
• Complete Comprehensive Medication Reviews (CMRs) with eligible Medicare members to give the member a better understanding of their medications and health.
• Send interventions to providers through fax or the CMR platform to alert the provider of potential drug interactions and adverse reactions, dose changes, adherence issues, etc.
• Provide counseling to Medicare members regarding medications.
• Provide Medicare members with information regarding their pharmacy benefits (i.e., formulary, preferred pharmacy, supplemental benefits, etc.)
• Provide clinical guidance and support to the Pharmacy Quality Specialists.

What You Bring

• Bachelor's degree or advanced degree
• 3+ years of experience in related field
• Licensed NC pharmacist or eligible for licensure in North Carolina.

Bonus Points (Preferred Qualifications)

• Background in ambulatory care and/or retail pharmacy environments.
• Strong ability to engage with patients and health plan members in a professional and empathetic manner.
• Excellent communication skills tailored to customer, patient, and member needs.
• Familiarity with a wide range of disease states and chronic conditions.
• Working knowledge of Medicare programs and processes.
• Experience serving the geriatric population, with sensitivity to their unique healthcare needs.

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community.
• Work-life balance, flexibility, and the autonomy to do great work.
• Medical, dental, and vision coverage along with numerous health and wellness programs.
• Parental leave and support plus adoption and surrogacy assistance.
• Career development programs and tuition reimbursement for continued education.
• 401k match including an annual company contribution.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

Based on annual corporate goal achievement and individual performance.

$118,691.00 - $189,906.00

Key skills/competency

• Clinical Compliance
• Medication Adherence
• Comprehensive Medication Reviews
• Medicare Programs
• Patient Counseling
• Provider Collaboration
• Drug Information
• Formulary Management
• SUPD Gap Closure
• Geriatric Care