Pharmacist, Population Health

This is a fully remote position, open to applicants in United States.

📋 Description

• Spearhead the creation of innovative clinical programs while overseeing the upkeep of existing ones.

• Ensure effective communication and education for clients, members, providers, and internal teams regarding clinical programs and their outcomes.

• Conduct clinical outreach to members, prescribers, and pharmacy providers to improve care coordination.

• Assist operational departments in the implementation and daily operations of PBM programs to enhance member/patient care quality.

• Collaborate with various departments and offer guidance in the development, execution, and maintenance of clinical programs.

• Convey standards, regulations, and guidelines, including Medicare Part D, PQA, and HEDIS measures, to stakeholders and clients.

• Support the Residency Program Director in the PGY1 Managed Care Residency Program.

• Provide leadership, training, supervision, and strategic direction to Product Managers.

• Contribute expertise through active participation in the Specialty Clinical Group.

• Engage in the Coverage Determination process when necessary.

• Offer clinical insights related to formulary decisions made by the P&T Committee and Formulary Advisory Committee.

• Analyze, assess, and disseminate health outcomes and utilization data for effective program management and development.

• Create and maintain clinical, evidence-based documentation that supports PBM programs.

• Convert technical guidelines into clinical program business requirements and assist with program testing.

• Execute other responsibilities as assigned.

⛳️ Requirements

• A Bachelor’s degree in Pharmacy or a PharmD is required.

• Possession of current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to achieve reciprocity within 4 months.

• A minimum of 2 years of clinical experience, or completion of a clinical or managed care pharmacy practice residency along with 1 year of clinical experience.

• Desired knowledge of the PBM industry, formulary management, pharmacy claims, and managed care principles and practices.

• Preferred proficiency in drug literature and clinical trial evaluation, including familiarity with electronic databases (e.g., Micromedex, Medline, Facts & Comparisons).

• Preferred proficiency in MS Word, Excel, and PowerPoint, including the use of tables, charts, and figures.

• Commitment to participate in, adhere to, and support compliance program objectives.

• Ability to consistently interact cooperatively and respectfully with colleagues.

🏝️ Benefits

• Comprehensive benefits package for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program – up to $750!