Pharmacist, Utilization Management (UM)

Welcome to Molina Healthcare, where our mission is to provide quality healthcare to the communities we serve. As a Pharmacist, Utilization Management (UM), you will play a critical role in ensuring our members receive the best possible care while managing costs and promoting evidence-based practices. With your expertise in pharmacy and utilization management, you will collaborate with our interdisciplinary team to review medication utilization and make informed decisions that align with our company goals. We are seeking a highly motivated and detail-oriented individual with a passion for improving healthcare outcomes. If you are ready to make a positive impact on the lives of our members, then we invite you to join our team at Molina Healthcare as a Pharmacist, Utilization Management.

1. Review and evaluate medication utilization for members to ensure appropriate use and adherence to evidence-based practices.
2. Collaborate with the interdisciplinary team to develop and implement strategies for managing costs while maintaining quality healthcare.
3. Conduct medication therapy management and medication reconciliation for members as needed.
4. Utilize clinical expertise and knowledge of pharmacy guidelines and regulations to make informed decisions regarding medication utilization.
5. Communicate with providers and other healthcare professionals to discuss medication therapy and provide recommendations for optimizing treatment plans.
6. Monitor and analyze medication utilization data to identify trends and opportunities for improvement.
7. Participate in quality improvement initiatives and provide input on strategies to enhance the medication utilization process.
8. Stay up-to-date on industry trends and developments in pharmacy and utilization management to continuously improve processes and outcomes.
9. Educate and train other healthcare professionals on evidence-based medication therapy and appropriate utilization.
10. Maintain accurate and thorough documentation of all medication utilization reviews and decisions.
11. Collaborate with the pharmacy team to ensure proper handling and storage of medications.
12. Adhere to all company policies and procedures, as well as state and federal regulations, related to pharmacy and utilization management.
13. Contribute to a positive and collaborative work environment by sharing knowledge and expertise with team members.
14. Serve as a resource for members and their families, providing education and support on medication therapy and utilization.
15. Uphold Molina Healthcare's mission and values, promoting a culture of compassionate and quality care for our members.

According to JobzMall, the average salary range for a Pharmacist, Utilization Management (UM) is between $117,000 and $140,000 per year. This may vary depending on factors such as location, experience, and employer.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.