PADR Pharmacist - Facility Program Manager

This PADR Pharmacist - Facility Program Manager position is with Veterans Health Administration (Department of Veterans Affairs) in Phoenix, AZ. The Pharmacy Benefits Management (PBM) PA Formulary Manager position is of high visibility and represents Legacy Veterans Integrated Service Network (VISN) 21's wide efforts to improve medical care. He/she will exercise initiative and collaborate effectively with clinical and administrative staff at the Legacy VISN 21 and VA facility level to promote and support quality patient care. Key duties: • Some of the duties include but are not limited to: Using knowledge of VA formulary and clinical guidelines: reviews, adjudicates and provides education to prescribers to assist in optimizing clinical care to meet safety, clinical, quality or regulatory requirements. Consults with contracted care providers outside VA for contracted care to obtain information necessary to adjudicate prior authorization requests. Provides education to non-VA providers on VA formulary selection and informs supervisors of non-VA providers who continually are outlier prescribers. Integrates smaller scale educational concepts for time-sensitive campaigns to change prescribing patterns. These include, but are not limited to: PBM updates, polypharmacy containment, formulary process and controls, and approved drug conversions. Leads/Serves as an authoritative PBM representative on VISN Committees and workgroups. Critically reviews prior authorization drug requests from all VAMCs for appropriateness, utilizing clinical knowledge, National and VISN treatment guidelines, drug use criteria, and relevant literature and resources. Collaborates with PA Data Analyst, National and VISN PBMs to conduct prospective/retrospective drug use evaluations of high-risk, high-use or high-cost drugs. Serves as subject-matter-expert (SME) to VAMC providers and administration for questions regarding National criteria for use, treatment algorithms and VA National Formulary. Collects, monitors and utilizes feedback to monitor program outcomes, including cost-containment, healthcare resource utilization, satisfaction and clinical outcomes; provides feedback or successes for continued motivation and support for any necessary changes. Consistently responds to VISN PBM program inquiries, medication or other relevant requests in a timely, accurate, friendly, and professional manner across the spectrum of PBM internal and external customers. Work Schedule: Monday - Friday, 8:00am - 4:30pm PST (Subject to change to meet organizational needs) Telework: Ad-hoc per policy. Virtual: This is not a virtual position. Functional Statement #: 07979-F Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized Qualifications: Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.). Graduates of foreign pharmacy degree programs meet the educational requirement if the 2 graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination). Licensure: Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Demonstrated KSAs. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. Expert understanding of regulatory and quality standards for their program area. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area of area of clinical expertise. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: Minimum of three years of experience working with VA formulary, including adjudication of prior authorization requests and/or conducting drug reviews for specialty medications, biologics and oncology therapies. Experience in data analysis, including monitoring drug utilization trends, assessing clinical and economic outcomes, and developing strategies for cost containment related to medication use. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-13. Physical Requirements: Work is primarily performed while sitting, through some work may require periods of standing and occasional lifting. The regular and recurring work of the position involves sitting at a desk, conferences, meetings etc., and occasional visits to community and nationwide sites. Occasional use of automobiles and public conveyances may be required. Travel up to 25% of the time may be required. View the full announcement and apply on USAJOBS.gov.