PGY1 Managed Care Residency


PGY1 Managed Care Pharmacy Residency Program Purpose: To build upon the Doctor of Pharmacy (Pharm.D.) education and outcomes to develop managed care pharmacist clinicians with diverse patient care, leadership and education skills who are eligible for board certification and postgraduate year two (PGY2) pharmacy residency training. A managed care residency will provide systematic training of pharmacists to achieve professional competence in the delivery of patient care and managed care pharmacy practice.

The University of Oklahoma Health Sciences Center (OUHSC) Pharmacy Residency Training Program sponsored by the College of Pharmacy in affiliation with OU Health prepares PGY1 managed care residents for entry- or mid-level positions in a Health-System, commercial pharmacy benefit management (PBM), or government payer pharmacy PBM setting.  This program will equip the resident to participate as an interdisciplinary member of the managed health-care team to apply knowledge to direct population-level patient care encounters and develop independence with respect to clinical and managed care decision making.  Ultimately, the program allows sufficient flexibility to adapt to the needs and interests of the individual resident while preparing them for a career in managed care.  Unique to this program is a focus on Medicaid pharmacy management which will prepare the resident to work at the state or commercial level caring for the needs of Medicaid covered populations.

The resident will be appointed the academic rank of Clinical Instructor with the University of Oklahoma College of Pharmacy.  In this role, residents are provided opportunities for didactic and experiential teaching within the pharmacy curriculum.  Residents are also provided opportunities in rotation practice sites to provide informal and formal presentations to other members of the health-care team.  Participation in the OU College of Pharmacy teaching certificate program (i.e., Foundational Teaching Skills for Residents) is a residency requirement.


The OUHSC Pharmacy Residency Training Program sponsored by the College of Pharmacy in affiliation with OU Health Managed Care PGY1 residents are required to achieve a number of goals from the required educational outcomes (See Educational Outcomes section).  Modification to the goals and educational outcomes may be made with specific residents based on their individualized training plans, previous experiences, and practice/research interests.  At the minimum, the resident is expected to complete the following: 

  • Manage and improve the medication-use process at Pharmacy Management Consultants and the Oklahoma Medicaid program
  • Provide drug utilization review, medication therapy management, and prior authorization review for members
  • Demonstrate proficiency in the application of drug information and evidence-based medicine to specific patient encounters
  • Conduct a managed care research project and prepare a manuscript suitable for publication
  • Exhibit professional attitude at all times
  • Communicate effectively to patients, students, healthcare providers, and the public about matters related to appropriate medication use


Practice Sites

Pharmacy Management Consultants (PMC) is the primary pharmacy benefit management site for the residency.  PMC has served as the pharmacy benefit manager for the Oklahoma Medicaid program for over 25 years.  The Oklahoma Medicaid population is approximately 1 million lives annually.  PMC performs prior authorization, drug utilization review, medication therapy management (MTM), patient review and restriction programs (PRRP), call center, PBM management, and other clinical functions for Oklahoma Medicaid.  


Professional Meetings

PGY1 Managed Care residents will attend one national and one regional meeting during the year.    In the spring, residents are expected to present their research at the AMCP Expo Poster Session.  Residents will also present a platform presentation at the Oklahoma Society for Health-System Pharmacists’ Residency Research Conference.

Residency Learning Experiences

  • Practice Site Orientation: 1 month

    During the first month of the program, the resident participates in orientation activities at the College of Pharmacy and PMC. This rotation is designed to familiarize the resident with the primary practice site and to prepare the resident to function as a staff pharmacist in the managed care setting. Residents begin training in drug information and medication use evaluation during this month in addition to completing institutional review board requirements for conducting research.

  • Clinical Staffing: Longitudinal (10 months)

    This rotation will take place over 4-weeks in August and is designed to expose the resident to the roles and responsibilities of the clinical pharmacist in an effort to prepare the resident for their delivery of staffing requirements.

  • Drug Utilization Review: Longitudinal (11 months)

    The rotation in drug utilization review (DUR) is designed to provide the resident with an introduction to the Drug Utilization Review Board (similar to Pharmacy and Therapeutics Committee).  The resident will prepare reports for presentation at the monthly DUR Board meetings. This rotation will prepare the resident for completion of the drug information and medication use evaluation longitudinal rotation.

  • Medication Therapy Management (MTM) and Patient Review and Restriction Program (PRRP): 1 month and longitudinal

    The MTM portion of this rotation prepares the resident to review patient profiles and assess potential drug or disease related problems for individual patients.  Residents will prepare recommendations to be communicated with prescribers and patients regarding more appropriate therapies.  The PRRP is an important feature of most Medicaid and commercial insurers and reviews patient profiles for potential misuse or abuse of controlled drug substances. 

  • Commercial Benefit Management: 1-2 months

    This rotation will allow the resident to learn formulary management in the commercial side of managed care.  There are multiple sites that will allow the resident to learn DUR and patient outreach from a commercial perspective.

  • State Medicaid Administration: 1 month

    The resident will work with the Oklahoma Medicaid Pharmacy Director in conjunction with PMC’s Pharmacy Director to learn first-hand the intricacies of running a Medicaid program.  Resident may participate in many activities including multi-state teleconferences, management meetings, auditing, utilization review, and budgeting.

  • Mail Order and Specialty Pharmacy: 1 month

    The resident will work with a provider of healthcare and reentry services delivering prescriptions through mail-order pharmacies and developing formulary and building on their understanding of reimbursement, pricing, and purchasing methodologies.

  • Academic Detailing: 2 months

    This month the resident will work with the academic detailer and learn how to effect change at the prescriber level.  The resident will travel with the detailer and visit in-person with physician office staff and prescribers.  The resident will present best practice guidelines to prescribers and explain the current formulary standings.

  • Quality and Regulatory Affairs: 1 month

    During this rotation, the resident will learn about quality metrics used in managed care including HEDIS and PQA measures.  The resident may participate in metric development calls with PQA and discover how pharmacy quality metrics are developed and implemented.  Implementation of metrics within the Medicaid population may also be incorporated. 

  • Pharmacy Benefit Management (PBM) Administration: 1 month and longitudinal

    This one month focus and longitudinal rotation will prepare the resident for the administrative functions of a PBM.  The resident will work with the pharmacy director of both PMC and Oklahoma Medicaid to learn the complicated administration processes, including those of a government payer.  The resident will attend local and state meetings and may be included in national or regional work group calls.

  • Research: 1 month and longitudinal

    Residents complete a research curriculum which includes the University of Oklahoma Health Sciences Center Institutional Review Board (IRB) certification for conducting human research and specific research training sessions through Resident Rounds. Each resident designs and executes an original research project under the mentorship of their research committee, which consists of the residency program director, an expert in the practice area in which the research will be conducted, and an expert in study design, data analysis, and statistical methods. Residents present research findings as a poster at the AMCP Expo with final results as a podium presentation at the Oklahoma Society of Health-System Pharmacists’ Residency Research Conference. In accordance with ASHP standards, residents prepare a high-quality manuscript based on their research findings.

  • Foundational Teaching Certificate Program: Longitudinal (12 months)

    The foundational teaching certificate program consists of both didactic and experiential components designed to promote integration and application of various aspects of teaching and optimize learning through a variety of teaching experiences. The course coordinator and education specialist work closely with each resident to ensure adequate support in each of the teaching opportunities. Resident learning is predicated not only on the responsibilities given, but also on acceptance of personal responsibility and dedication to educational objectives.

  • Drug Information/Medication Use Evaluation: Longitudinal (9 months)

    Since the development of strong drug information skills is essential for pharmacy practitioners, this experience is present throughout the entire residency program. Residents participate in defined drug information activities, such as the completion of one drug information question, preparation of drug monographs for formulary consideration, presentation of an educational seminar for staff pharmacists, and development and presentation of at least one medication use evaluation (MUE) at a DUR Board meeting.

Residency Program Director

Ashley Teel, Pharm.D.

Clinical Pharmacist, Pharmacy Management Consultants

Residency Rotation Preceptors

  • Ashley Teel, Pharm.D.
  • Michyla Adams, Pharm.D.
  • Devin Wilcox, Pharm.D.
  • Melissa S. Medina, Ed.D.
  • Jill Ratterman, Pharm.D.
  • Mike Abdo, Pharm.D.
  • Burl Beasley, D.Ph, MPH, MS



This residency program is accredited by the American Society of Health-System Pharmacists.