专业居民（医疗补助）
Professional Resident (Medicaid)
Horizon Blue Cross Blue Shield of New Jersey 帮助我们的会员实现最佳健康状态。90 多年来，我们一直是新泽西州的健康解决方案领导者，推动改善医疗质量、可负担性和会员体验的创新。我们的会员是我们的邻居、朋友和家人。正是这种理解，促使我们更好地服务和照顾 350 万人，他们信任我们。我们以拥有业内一流的员工为荣，并努力营造一个创新且包容的环境，让员工能够茁壮成长。当员工发挥最佳水平并取得成功时，公司也会随之成功。
职位简介
这是一个为期一年的结构化研究生后教育和培训项目，属于医疗补助管理护理 HMO。该职位的目标是提供关于管理护理环境中药物治疗和药学服务的高级知识和技能。
你将负责
职责：
- 药房病例管理。
- 治疗类别审查和药品专论的开发。
- 药品目录开发。
- 疾病状态管理。
- 临床政策的开发。
- 预先授权流程。
- 药物使用审查。
- 结果研究。
- 对政府项目的特别关注。
- 专业技能发展和企业管理。
- 协助药学博士学生监督。
- 你将带来的
- 教育/经验：
- 需要从经认证的学院或大学获得药学理学学士学位。
- 需要从经认证的学院或大学获得药学博士（Pharm.D.）学位。
- 个人陈述
- 简历
- 三封推荐信
其他执照、认证、注册：
- 如果进行医疗必要性（UM）决策，需要有效的无限制药剂师执照；新泽西州执照优先。
知识：
- 需要掌握电子表格软件包的知识。
- 需要掌握数据库软件包的知识。
- 需要具备项目管理知识。
- 需要了解互联网临床信息数据库。
- 技能和能力：
- 需要能够使用个人电脑和相关软件。
- 需要具备分析思维能力。
- 需要优秀的口头和书面沟通能力。
- 需要强大的组织能力。
- 需要能够分析医学文献，例如临床试验。
- 这是 2027 年药学住院医师项目的招聘计划，目前不是开放职位。
- 为什么选择 Horizon？
- 在 Horizon，你…
查看英文原文
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
This is a one-year, structured post-graduate education and training program in a Medicaid managed care HMO. The goal of the position is to provide advanced knowledge and skills regarding drug therapy and pharmaceutical services in a managed care environment.What You'll Do
Responsibilities:
- Pharmacy case management.
- Development of therapeutic class reviews and drug monographs.
- Formulary development.
- Disease state management.
- Development of clinical policies.
- Prior authorization process.
- Drug utilization review.
- Outcomes research.
- Unique focus on government programs.
- Professional skills development and business administration.
- Assist with Pharm.D. student oversight.
What You Bring
Education/Experience:
- Requires a bachelor's of science degree in pharmacy from an accredited college or university.
- Requires a Pharm D from an accredited college or university.
- Letter of Intent
- Curriculum Vitae
- Three Letters of Recommendation
Additional licensing, certifications, registrations:
- Active Unrestricted Pharmacist License Required Only If Making UM Decisions; NJ License Preferred.
Knowledge:
- Requires knowledge of a spreadsheet software package.
- Requires knowledge of a database software package.
- Requires project management knowledge.
- Requires knowledge of internet clinical information databases.
Skills and Abilities:
- Requires the ability to utilize a personal computer and applicable software.
- Requires the ability to think analytically.
- Requires excellent verbal and written communication skills.
- Requires strong organizational skills.
- Requires the ability to analyze medical literature, i.e. clinical trials
This is a pipeline requisition for the 2027 Pharmacy Residency Program, not currently an open position.
Why Horizon?
At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!
Salary Range:
$44,600 - $59,745This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
Originally posted on Himalayas