Clinical Pharmacist - Hybrid - (Clinical Support & Development)
About the position
Responsibilities
• Review current utilization management strategies to ensure strategies promote affordability and customer experience
• Organize and coordinate with a team of matrix partners and subject matter experts to assess opportunities to create non-condition based clinical programs
• Examine egregious medications/products and coordinate with clinical program directors to provide appropriate clinical recommendations to minimize client and customer cost
• Examine and oversee current compounding management
• Provide clinical subject matter expertise to the release and placement of new medications
• Provide support to the condition based program managers to enhance clinical affordability and total health outcomes
• Evaluate drug utilization review programs to improve clinical outcomes
• Coordinate with stakeholders to respond to RFP inquiries
• Review state and federal mandates to assess for business impact
• Review drug lists on a periodic basis that align with product offerings to ensure clinical intent is met
• Provide education and training for clinical team (Pharmacy Service Center, Cigna Home Delivery Pharmacy, Medical Management) to communicate clinical strategy and actions and assure consistent execution of class strategy
• Other duties as assigned
Requirements
• Bachelor's Degree in Pharmacy required; PharmD preferred
• Licensed Pharmacist required
• Experience developing end to end Pharmacy Clinical Programs required
• 2+ years experience working in a managed care, health plan, Pharmacy Benefit Management (PBM) organization, or formulary management required
• Solid understanding of evidence-based medicine, interpreting clinical literature, and standards of care required
• Results driven with proven communication, interpersonal and collaboration skills working in a cross-functional and matrixed environment required
Benefits
• Medical insurance
• Vision insurance
• Dental insurance
• Well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays
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