Job Description:
• monitors clinical criteria to provide clinical support for internal stakeholders
• utilizes broad understanding of managed care and PBM to implement strategies and programs
• develops, maintains, and/or operationalizes preferred drug lists related to coverage, utilization management edits, or clinical coverage policies
• conducts analysis on drug utilization trends
• supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios
• makes decisions on moderately complex to complex issues regarding technical approach for project components
• exercises considerable latitude in determining objectives and approaches to assignments
Requirements:
• Pharmacy Degree (PharmD or RPh) from an accredited School of Pharmacy
• Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
• Flexible, dynamic personality who works well in a team environment and is also an effective individual contributor
• Health Plan experience
• Knowledge of Medicaid as it relates to pharmacy
• Six Sigma and/or Project Management Professional certification
• Pharmacy practice residency or similar pharmacy practice experience
• Proficient in Microsoft Applications (Excel, PowerPoint, Word).
Benefits:
• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance
• many other opportunities