About Fallon Health:
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.
Brief Summary of Purpose:
Responsible for reviewing prescribed medications performing clinical and drug utilization reviews and clinical/economic evaluation of therapies and writing criteria sets for medications that have a prior authorization attached to them.
Responsible for designing and implementing clinical pharmacy programs and initiatives primarily for Senior Care Options and PACE programs. Position may require implementing programs and interventions for commercial and Medicaid products.
Education, Licenses, certification and experience requirements:
Education: PharmD required
License: Current license to practice as pharmacist in Massachusetts without restriction
Certification: CGP Preferred
Experience: 5 years with at least one year in a managed care environment; 1-2 years Professional experience practicing as a clinical pharmacist