Pharmacy Advisor at Old Mutual Kenya

Job Description (adsbygoogle = window.adsbygoogle || []).push({}); Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.SUMMARY The job holder will be responsible for promoting the rational use of medicines and guiding implementation of strategic purchasing for pharmaceuticals to ensure consistent delivery of high-quality cost-effective care, optimum health outcomes and excellent patient experience.KEY ROLES AND RESPONSIBILITIES Promote rational use of medicines – advocate for rational prescribing and dispensing by adhering to standard treatment guidelinesStrategic purchasing for pharmaceuticals – develop and implement strategic purchasing initiatives for pharmaceuticalsPreventive care – facilitate integration of preventive and promotive services and provide input during product development and benefit design processMember education – continuous education for members on appropriate use of medications, common side effects and drug pricesPolypharmacy – monitor for unnecessary polypharmacy for appropriate interventions including provider engagement and referral for Medication Therapy ManagementAdherence counselling – monitor patient adherence to medications and counsel those who are non-adherentGeneric substitution – engage providers and members on the role of generic medications in improving health in a cost-effective wayDrug Formulary Management – provide input to provider’s formularies to ensure cost-effective use of medicinesPharmacy pricelist management – monitoring of pharmacy prices to ensure adherence to Recommended Retail PricesPharmacy benefits management – oversee pharmacy preauthorization through timely and accurate adjudication of pharmacy preauthorization requestsDrug delivery – support disease management programs by linking members with chronic conditions with preferred pharmacies for drug deliveryPharmacy analytics – analysis of prescription patterns for providers and prescription drug use by members and analyze morbidity data to recommend appropriate interventionsMonitoring errors in pharmacy claims adjudication and preauthorization to inform accuracy in claims managementDrug utilization review – advise clients and providers on potential adverse drug reactions or drug interactions and counterchecking prescriptions for correctnessPharmacy technical support – provide technical support to the clinical team on queries revolving around prescription drugs.Keep up to date with current clinical guidelines for common ailments (including NCDs) provided by Ministry of Health and other internationally recognized clinical bodies.Pharmaceutical market intelligence – keeping abreast with new developments in the pharmaceutical sector, anticipating potential impacts on the business, and adapting strategy accordinglyActively collaborate with specialists, general practitioners, pharmacists, hospitals, patients, and other relevant stakeholders in promoting rational use of medicines REQUIREMENTSSKILLS AND COMPETENCIES Excellent communication, negotiation and interpersonal skillsExcellent analytical and monitoring skillsHigh level of integrity and honestyTeam player, commitment and ownershipEmpathy and Customer Focus QUALIFICATIONS, KNOWLEDGE & EXPERIENCE Diploma in PharmacyAt least 3 years’ experience in a busy private hospital or clinic settingPrior experience in a health insurance company is highly desirableSolid understanding of insurance principalsStrong data analytics capability