Understand the role the Pharmacist plays in the Medication Reconciliation process at Healthfirst to reduce preventable readmissions.
Engage with the Care Management team, as well as other clinical professionals including physicians, nurses, and social workers to deliver on common goals for members.
Drug Information/Research
Access, interpret, and extract pertinent information from published literature to answer drug information requests and effectively communicate appropriate clinical information.
Identify, design, and execute a practice-related research project; submit an abstract; and present it at a National meeting. By the end of the program year, the resident will submit the research project in a publication- ready format.
Leadership
Participate in the Pharmacy department planning processe including financial management and development of department specific goals to achieve corporate goals. Understand the responsibilities of the Pharmacy department from a regulatory, operational, and clinical perspective.
Work with the Residency Program Director in the recruitment and selection of candidates for the following residency year.
Pharmacy Benefit Oversight
Gain experience in managing the pharmacy benefits offered by Healthfirst. Pharmacy benefit lines of businesses include Medicare, Medicaid, and Commercial plans.
Learn how these benefits are designed, monitored, and modified by Healthfirst and in partnership with our Pharmacy Benefits Manager. Understand the department’s role in ensuring the benefit is provided in compliance with regulation set forth by the Center for Medicare & Medicaid Services and the New York State Department of Health.
Pharmacy Utilization Management (UM) - Speciality Drug Management
Become familiar with the management of high-cost drugs and how to identify future opportunities.
Conduct a drug utilization review to present the Healthfirst Pharmacy Advisory Committee (HFPAC), develop drug criteria, and review prior authorization requests for specialty medications on the medical pharmacy benefit.
POPulation Health Quality Strategies
Understand the major population health issues in the New York City metro area including Social Determinants of Health and health disparities that affect the Healthfirst Medicare membership.
Work on potential programs and initiatives to resolve health- related barriers such as medication non-adherence, access to care, and improving member health literacy to enhance the overall quality of the health plan.
Provider Engagement
Work closely with the community engagement team to resolve health related barriers such as medication non-adherence and access to care as well as promote member health literacy to improve the overall quality of the health plan.
Regulatory and Compliance
Be introduced to State and Federal agencies’ regulatory and compliance requirements for Managed Care Organizations. Become familiar with Part C and D Enrollee Grievances Organizational Coverage Determination Appeals Guidance, the Medicaid Managed Care Model Contract, and how they affect policies and procedures.
Reporting and Analytics
Work with our dedicated Enterprise Analytics team on various pharmacy related data evaluations and analytic requests.
Learn how clinical decisions are derived from data using data tools and platforms (e.g. tableau, SAS), and manipulating data sets.
Teaching and Academics
Learn the skills needed to effectively serve as a preceptor to pharmacy interns who complete their Advance Pharmacy Practice Experience (APPE) at Healthfirst. This includes onboarding students, facilitating necessary assignments, and evaluations.
Teaching Certificate Program
Learn foundational knowledge to understand adult learners and how to effectively design and deliver content. Upon completion of postgraduate training, attain the skills needed to determine an audience's educational need, capture their attention, and transmit information using various media.
