The Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage determinations, will be responsible for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to meet with prescribers on a one-on-one basis to promote cost-effective prescribing initiatives and strategies and will assist in the identification of cost-saving opportunities and outliers, the development of educational material, the evaluation of prescriber utilization data, and the deployment of cost reduction strategies.
The Clinical Pharmacist will assist in the development, administration and management of the Health Plan’s Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit configuration and benefit transition process, and drug reviews for Pharmacy & Therapeutics Committee Meeting.
The Clinical Pharmacist will assist in the development and oversight of the Part D Drug Formulary and administration of the Drug Utilization Management Program. This includes weekly new drug reviews and coding to be submitted to the Pharmacy Benefit Manager, New Contract Year formulary evaluation, and rebate strategy evaluation.
The Clinical Pharmacist is the lead for the review and presentation of New Drug Entities, New Generics, and Line Extensions at the Plan’s Pharmacy & Therapeutics Committee Meeting.
This position will work with other constituents, including but not limited to: Pharmacy Director, Chief Medical Officer, Medical Director, Pharmacy team, Member Services, Utilization Management, IT/Analytics, Finance, Case Management, Provider Relations, Compliance, Sales/Marketing and the PBM account team.
Responsibilities:
Qualifications:
Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.
No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
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