The VISN Non-Formulary Clinical Pharmacist holds a position of high visibility and is responsible for adjudicating requests for the VISN 10 Non-Formulary (NF) and Prior Authorization (PA) medication adjudication program. This individual is required to exercise an advanced level of leadership, communication, organizational skill, independent judgment, and problem-solving ability. INTERNAL APPLICATIONS PLEASE APPLY AT CBSR-12063700-23-MK

Duties

Duties Include, but not limited to: -This incumbent will review and adjudicate NF and PA medication requests. -Conduct education with providers at the point of ordering medications with emphasis on providing the most clinically appropriate, safe, and cost-effective treatment to Veterans. -Works collaboratively with the VISN Non-Formulary and VISN Clinical Pharmacy Program Managers and establish relationships with clinical and professional staff within VISN 10 (including community care providers) to continually review and implement the safe, cost-effective use of medications. -Consults with VISN 10 providers, contracted care providers outside VA for contracted care, and community care providers to obtain information necessary to adjudicate NF and PA medication requests .-Maintains awareness of and meets VA performance metrics outlined for adjudication of prior authorizations and monitoring parameters. -Promotes and advocates for compliance with the VA National Formulary (VANF) and VA criteria-for-use documents. -Maintains a good working knowledge of information resources, both written and electronic. -Maintains awareness of changes in the Pharmacy Benefits Management (PBM) Formulary services (e.g., formulary additions and deletions, relevant memoranda, and policies and procedures). -Forwards any provider appeals of a NF or PA drug request decision appropriately to the VISN 10 facility -P&T Chair to ensure timely review and completion of the request.-Collaborates with the VISN 10 NF Program Manager and the VISN 10 Clinical Pharmacy Program Manages to identify any drug shortages related to NF and PA medication requests. -Collaborates with the VISN 10 NF Program Manager and the VISN 10 Clinical Pharmacy Program Manager to assist with the management of annual PBM cost savings initiatives, including manual and automated conversions as indicated. -Ensures that medication orders and prescriptions are accurately and efficiently entered-Identifies outcomes that can be improved and assists with the performance improvement process. -Assures allergy assessments are completed prior to processing orders related to a NF or PA medication request. -Completes and documents reviews in the Electronic Health Record (EHR) in a timely manner -Completes all team workload evaluations by deadlines independently. Work Schedule: Fulltime variable Telework: Authorized Virtual: This is not a virtual position. Functional Statement #: 91422A Relocation/Recruitment Incentives: Yes Financial Disclosure Report: Not required

Requirements

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. 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.) 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: Grade Determinations: GS-12 Clinical Pharmacist (Full Performance Level): Experience or Education. In addition to the basic requirements, candidates must meet one of the following: 1. 1 year of experience equivalent to the next lower grade level, GS-11 To be creditable, the experience must have demonstrated the use of knowledge, skills, and abilities associated with professional pharmacy practice. Professional practice means paid/non-paid employment as a professional or unlicensed graduate pharmacist as defined by the appropriate licensing board. or 2. Completion of an ACPE-accredited Pharm.D. program. In Addition, pharmacists at the GS-12 level must also demonstrate the following Knowledge, Skills and Abilities (KSAs): 1. Knowledge of professional pharmacy practice. 2. Ability to communicate orally and in writing to both patients and health care staff. 3. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. 4. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: Experience with review and adjudication of non-formulary/prior authorization requests and Project management experience References: VA HANDBOOK 5005/55 PART II APPENDIX G15 LICENSED PHARMACIST QUALIFICATION STANDARD GS-660The full performance level of this vacancy is GS-12. The full performance level of this vacancy is GS 12. Physical Requirements: The work is administrative and technical in nature, primarily sedentary. Work is performed in an office setting and requires the use of numerous communication modalities. Some travel and tour of duty changes are required to meet demands of the position. Occasional light physical effort may be required.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Dayton VA Medical Center 4100 West Third Street Dayton, OH 45428 US
• Name: Mary Ann Kalis Jordan
• Phone: (313) 917-7841
• Email: [email protected]