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Clinical Pharmacist - Hybrid - (Clinical Support & Development)

Remote, USA Full-time Posted 2025-11-02
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 Apply tot his job Apply To this Job

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