Pharmacist 3

Job Description

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.
Learn more about Louisiana Department of Health
Shape the Future of Medicaid Pharmacy Services! Join the Louisiana Department of Health's Pharmacy Section and help ensure Louisianans have access to high-quality pharmacy services while driving innovation, efficiency, and cost savings. This is an opportunity to contribute to a complex statewide Medicaid program, support impactful cost-containment initiatives, and help strengthen pharmacy services for the people of Louisiana. Bring your expertise to LDH and make an impact that reaches communities statewide!
Possession of a current Louisiana license to practice pharmacy plus two years of experience as a licensed pharmacist.
The official job specifications for this role, as defined by the State Civil Service, can be found here.Job Duties:

• Provides regulatory oversight of pharmacy contractors, monitors contractor performance, and ensures compliance with program priorities, standards, and agency policies.

• Provides clinical and technical expertise on Medicaid pharmacy policy, including policy changes, Single Preferred Drug List (PDL) maintenance, and implementation of new or revised requirements.

• Oversees Fee-for-Service (FFS) pharmacy claims operations, including claims submission, clinical overrides, claim interventions, drug file updates, and payment and authorization statuses.

• Develops and approves clinical criteria for drug coverage, participates in Drug Utilization Review (DUR) activities, and recommends strategies to improve prescribing and dispensing practices.

• Coordinates pharmacy benefit activities involving third-party payers, including Medicare Part B and Part D drug coverage, and assists with pharmacy provider enrollment and related payment processing.

• Provides clinical consultation and technical assistance to pharmacy staff, providers, recipients, manufacturers, legislators, and oversight agencies regarding complex pharmacy program and policy matters.

• Participates in Pharmaceutical and Therapeutics Committee activities, reviews clinical and financial drug information, monitors PDL implementation, develops innovative pharmacy practices, and supports disaster preparedness and other program initiatives.

Position-Specific Details:
Location: Medical Vendor Administration / Director's Office/Executive Management Team / East Baton Rouge ParishAppointment Type: This position may be filled as a Probationary appointment, or Detail to Special Duty
Cost Center: 3052010100
Position Number(s): 50335447

How To Apply:
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
* Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.
For information on how to check your application status and understand status updates, please click HERE.
Contact Information:
Shambrielle Pooler
Shambrielle.Pooler@la.gov
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge, LA 70821
225-342-6477
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
LDH supports Louisiana's commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.
Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.
LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.