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Inland Empire Health Plan

Clinical Pharmacist - Pharmaceutical Services (Short-Term Assignment)

10801 6th St Ste 120, Rancho Cucamonga, CA 91730-5987

On-site · Full-time · $154k–$204k (as posted)

First seen by offpeak October 6, 2026

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Overview

This is a short-term assignment.

 

What you can expect! 

 

The Clinical Pharmacist – Pharmaceutical Services is responsible for providing patient-specific medication reviews and developing recommendations for medical drug utilization management (RxUM), Medication Therapy Management (MTM), medication adherence, pharmacy clinical quality, including but not limited to, HEDIS, MCAS and STARS measures, and member issue resolution. This position will resolve medication and pharmacy issues for members who are triaged to pharmacy from the Member Services Call Center or other internal departments. The Clinical Pharmacist – Pharmaceutical Services will communicate verbal and written clinical recommendations to members, prescribers, and pharmacies.  The Clinical Pharmacist – Pharmaceutical Services will serve as a subject matter expert for audits, projects, quality improvement process enhancements, LEAN projects and other IEHP initiatives. The position may be assigned to a specific area or work in multiple areas on a rotating basis.

 

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Key Responsibilities

  • Perform patient-specific medication reviews and develop recommendations using established medical treatment protocols and clinical practice guidelines in compliance with regulatory timelines and standards
  • Medical drug utilization management (RxUM) - Evaluate adjudicate prior authorization requests for medical drugs. Evaluate and review drug claims for clinical appropriateness
  • Medication Therapy Management (MTM) - Perform Comprehensive Medication Reviews (CMR) in compliance with CMS standards and timelines
  • Medication adherence - Evaluate and develop medication adherence recommendations to members and prescribers.  Coordinates with members, prescribers, and pharmacies to assure patient obtains medication and understands instructions for use
  • Pharmacy Clinical Quality, including but not limited to, HEDIS, MCAS and STARS measures - Evaluate and develop patient-specific recommendations to support pharmacy clinical quality priorities
  • Member issue resolution - Resolve medication and pharmacy issues for members who are triaged to pharmacy from the Member Services Call Center or other internal departments
  • Formulary implementation, management, and maintenance assistance
  • Communicate verbal and written clinical recommendations to members, prescribers, and pharmacies regarding medication use, medication adherence, therapy changes, and risks. Initiate outbound calls to members and prescribers to explain clinical recommendations that were developed during the clinical medication reviews
  • Act as subject matter expert (SME) for internal and external regulatory and operational audits, projects, quality improvement process enhancements, LEAN projects and other IEHP initiatives.
  • Any other duties required as assigned by Pharmacy Leadership ensuring Health Plan operations are successful
  • Qualifications

    Education & Requirements 

     

    Key Qualifications

      

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Work Model Location

    Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)

    Schedule will adjust based on business need which may include evenings, holidays, and weekends.

     

    Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.

    Pay Range

    USD $154,128.00 - USD $204,214.40 /Yr.

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