Job Description

KEY RESPONSIBILITIESRefill Authorization & Medication Review (70%)

• Independently review and authorize medication refill requests for established patients
• Process refill requests received via phone, patient portal, EHR messages, and pharmacy faxes
• Conduct comprehensive medication reviews assessing appropriateness, safety, adherence patterns, and monitoring needs
• Verify medications against active medication lists and resolve discrepancies
• Ensure patients have appropriate follow-up appointments scheduled before authorizing long-term refills
• Review laboratory values and monitoring parameters for medication safety
• Coordinate with external pharmacies to resolve access barriers, insurance issues, and supply problems
• Identify drug therapy problems and recommend interventions to providers
• Document all refill decisions and clinical assessments in HER

Program Development & Implementation (20%)

• Define scope of practice including medication classes, patient populations, and authorization criteria
• Develop inclusion/exclusion criteria for pharmacist-managed refills
• Create standardized workflows integrated with Cerner EHR system
• Build efficient processes for triaging, reviewing, and responding to refill requests
• Establish quality metrics and performance monitoring systems
• Develop policies, procedures, and clinical protocols for refill authorization
• Train clinic staff and providers on pharmacist-led refill workflows

Clinical Collaboration & Patient Care (10%)

• Collaborate with providers on medication therapy optimization
• Escalate complex cases or medications outside scope to appropriate prescribers
• Communicate recommendations and interventions clearly to care teams
• Support medication adherence initiatives and patient education
• Assist with medication access programs and prior authorizations
• Participate in quality improvement projects related to medication management
• Coordinate care with population health and care management teams

QUALIFICATIONSRequired:

• PharmD from ACPE-accredited program
• Completion of PGY1 pharmacy residency
• Active California pharmacist license in good standing
• Strong clinical knowledge across multiple disease states and medication classes
• Excellent independent decision-making and clinical judgment
• Proficiency with EHR systems (Cerner strongly preferred)
• Strong understanding of medication access, insurance, and pharmacy operations
• Exceptional written and verbal communication skills
• Ability to work efficiently in high-volume environment

Preferred:

• Board Certification in Ambulatory Care (BCACP) or Pharmacotherapy (BCPS)
• Advanced Practice Pharmacist (APh) certification
• 3-5 years ambulatory care or primary care pharmacy experience
• Experience managing refill authorization programs

Salary range: $136,989.00 - $234,603.00 per year

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