Senior Care Manager Job at L.A. Care Health Plan, Los Angeles, CA 90017

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Job Description

Salary Range: $60,778.00 (Min.) - $68,364.00 (Mid.) - $91,166.00 (Max.)


Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

Job Summary

The fundamental goal of the residency in managed care pharmacy is to provide a structured and advanced education and training experience for pharmacists whose ability, motivation, and career aspirations suggest potential for creative and innovative leadership in managed care pharmacy practice. Under the guidance and oversight of a team of Pharmacy Preceptors, the Managed Care Pharmacy Resident II will assist with the research, development, and maintenance of clinical pharmacy programs, including clinical initiatives that impact drug utilization, clinical education and staff development, management of appropriate drug utilization, drug spend analysis, and quality improvement activities related to pharmaceuticals. The Pharmacy Resident II will assist in the oversight of daily operations of the Pharmacy and Formulary department. This position will participate in care management as a member of the Interdisciplinary Care Team, and will assist in performing medication assessments for members and for Medication Therapy Management participants. The Pharmacy Resident II will assist in conducting oversight audits and focus on continuous monitoring activities.

Duties

Focusing on the provision of patient-centered care, learn about and participate in the design and implementation of formularies, disease management and medication therapy management (MTM) programs, and provide efficient patient-centered care to the organization's members under the guidance of an assigned Pharmacy preceptor.



Focusing on drug use evaluation (DUE), drug utilization review (DUR), treatment guidelines and quality improvement; learn to identify medication-related problems, review best practices and design quality improvement plans for the organization's medication use system under the guidance of the Preceptor. Ensure the safety and quality of the medication-use system.


Focusing on the delivery of drug information, under the guidance of the Preceptor learn to design and deliver prescriber and patient education programs and respond to drug information requests. Ensure the ability to provide medication and practice related information, education and/ or training.


Under the guidance of the Preceptor, learn to collaborate with plan sponsors to design effective benefit structures to service a specific population's needs. Learn and understand the keys to effective pharmacy benefits and participate in the review and analysis of benefit design.



Under the guidance of the Preceptor, learn to collaborate with plan sponsors to design effective benefit structures to service a specific population's needs. Learn and understand the keys to effective pharmacy benefits and participate in the review and analysis of benefit design.



Under the guidance of the Preceptor, learn to design, create, display and present a managed care pharmacy practice-related project. Learn to exercise and demonstrate leadership abilities, ethical conduct and work both independently and as part of an interdisciplinary team.


Perform other duties as assigned.

Duties Continued

Education Required

Bachelor's Degree in Pharmacy

Education Preferred

Experience

Skills

Required:
Ability to perform complex problem solving.


Demonstrate strong critical thinking.


Excellent verbal and written communication skills.

Licenses/Certifications Required

Pharmacist - Active, current and unrestricted California License

Licenses/Certifications Preferred

Required Training

Additional Information

Graduates or candidates for graduation of an Accreditation Council for Pharmacy Education (ACPE) accredited degree program (or one in process of pursuing accreditation) or have a Foreign Pharmacy Graduate Equivalency Committee (FPGEC) certificate from the National Association of Boards of Pharmacy (NABP).


Required:
Must participate in the National Matching Services Inc. (NMS) match system and match with L.A. Care Health Plan.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.


L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, it's expected that all employees wear a mask in areas where physical distancing cannot be managed.

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