Job Description
Are you passionate about helping people?
This role is considered a hybrid role.
As a Drug Use Policy Pharmacist (DUP) at the Cedars-Sinai Medical Network Foundation, you will serve as the primary professional staff member in the Department of Pharmacy responsible for the clinical and medication use policies within Cedars-Sinai Medical Care Foundation (CSMCF). The responsibilities cover all aspects of medication use policy analysis, from the development of the new policies to oversight of medications within CS-Link, our Electronic Medical Record system.
Do you want to make a difference in people's lives?
The Drug Use Policy Pharmacist is responsible for the identification, execution, and follow-up on high cost medication usage evaluations and recommendations for the patient population within Cedars-Sinai Medical Network Foundation. The goal of this role is to guide the organization to provide timely, appropriate, and cost-effective drug therapy to our patients. This Drug Use Policy Pharmacist will lead the charge by analyzing pharmaceutical usage and cost trends and work with the appropriate internal parties to develop clinical initiatives focusing on methods to achieve cost reduction around targeted therapies.
This position requires a strong comfort level of data analysis, prior knowledge of high cost drug classes, strong analytical skills and an ability to lead at a cross-functional level by stewarding recommendations forward within various leadership forums, including the Cedars-Sinai Medical Network Physician Leadership, P&T Committee, and other Cedars-Sinai Health System Leadership.
Once targeted therapies are identified, the Drug Use Policy Pharmacist is responsible for putting new policies in place, and educating the staff and physicians on the approach and to ensure that the processes, programs and services are accomplished in a timely and efficient manner. Additionally, providing clinical support and oversight for all utilization management (UM) activities on an ongoing basis, in accordance with CSMCF policies and procedures and in compliance with applicable state and federal regulations, including CMS and/or Medicare Part D and Medi-Cal, as well as accreditation standards such as NCQA.
- Analyze pharmacy costs of care, trends, and coordinate the development of appropriate use protocols and guidelines. Prior experience highly desired.
- Develop drug product review and recommendations by assessing drug use trends, new drug releases and review of primary literature. Prior experience in drug policy analysis and drug formulary management highly preferred.
- Critically evaluate and interpret data from various sources to provide an accurate and balanced response within the guidelines and regulations of industry-based drug information practice.
- Set criteria for medication review of non-formulary or non-preferred drug list medications and communicate recommendations.
- Research drug information to maintain drug knowledge and disease state understanding. Monitor pipeline medications and new medication research.
- Provide support documentation and develop communication for the Pharmacy & Therapeutics (P&T) Committee review process and decisions.
- Provide education to physicians, nurses, pharmacists and allied health care professionals regarding safe medication use or changes in medication policy. Triage and respond to drug information inquiries from physicians, pharmacists, nurses and other health care professionals. Some patient correspondence may occur.
- Assist with training of pharmacy residents and pharmacy students and with continuing education activities for pharmacy staff, and when appropriate, physicians.
- Review drug usage data and make determinations for drug products according to member benefits and coverage criteria.
- Assist with budget forecasting and management.
- Complete projects related to clinical pharmacy and medication use improvement, as needed.
- Assist with implementation and education of new order sets, best practice alerts, updating drug lists, and other work related to medication use within Cedars-Sinai’s electronic medical record system, CS-Link (Epic).
- Takes a lead role in the implementation of new drug-related initiatives and the establishment of new clinical pharmacy services or initiatives as requested.
- With the team, develops and implements clinical criteria for the review of non-formulary or non-preferred medications.
- Reviewing and revising scripting for patient and prescriber communication (e.g., criteria, letters) related to drug coverage and other drug utilization programs.
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#LI-Hybrid
Req ID : 2475
Working Title : Pharmacist - Drug Use Policy - Hybrid- Medical Network
Department : Pharmacy and Nutrition Services
Business Entity : Cedars-Sinai Medical Care Foundation
Job Category : Compliance / Quality
Job Specialty : Patient Safety
Overtime Status : EXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $63.18 - $101.09
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non Discrimination Provision (PDF) (opens in new window)
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All (opens in new window).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy. Cedars-Sinai’s AA Policy Statement (PDF) (opens in new window)