Senior Clinical Pharmacist – Trend Management Strategies, Programs

This is a fully remote position, open to applicants in Alaska, +26 more states.

📋 Description

• Create clinical programs and products aimed at managing cost and utilization trends for high-impact medications.

• Track utilization and cost patterns of high-impact medications across pharmacy and medical benefits.

• Research and formulate trend management strategies.

• Design, implement, and evaluate programs focused on improving affordability.

• Work collaboratively with cross-functional teams on formulary management, utilization oversight, vendor relations, provider/member outreach, care management, and contracted networks.

• Oversee relationships with service vendors involved in high-impact drug management.

• Offer clinical project and program direction while monitoring program performance.

• Collaborate with Rx Product Managers regarding pricing, reporting, product feasibility, marketing, sales training, and ongoing program maintenance.

• Partner with Rx functional areas to develop and execute drug management strategies and tactics.

• Conduct pilot programs with internal or external business partners and assess outcomes.

• Lead external benchmarking initiatives and other significant efforts.

• Prepare position statements, outcomes reports, and program presentations.

• Maintain competitive intelligence and conduct market surveillance on vendors and their capabilities.

• Generate trend and pipeline reports along with insights to guide pharmacy strategies.

⛳️ Requirements

• A pharmacist with an advanced degree (e.g., PharmD, MBA, MHA, MPH) or a minimum of six (6) years of relevant work experience (Required).

• An active US Pharmacist license in good standing (Required).

• At least four (4) years of experience in clinical program development, management, or consultation within a managed care environment (Required).

• Experience in managed care pharmacy (Preferred).

• Project management experience (Preferred).

• Familiarity with Medicare (Preferred).

• Experience with Health Benefit Exchanges (Preferred).

• Board Certified Pharmacotherapy Specialist (BCPS) designation (Preferred).

• Experience in health plan claims analytics (Preferred).

• Proven capability to lead and manage multiple, complex, concurrent projects.

• Effective verbal and written communication skills; strong presentation abilities.

• Established ability to cultivate and maintain relationships with both internal and external stakeholders.

• Capacity to work independently as well as part of a team.

• Strong analytical capabilities.

• Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook.

• Awareness of local and regional healthcare issues.

🏝️ Benefits

• Medical, vision, and dental insurance with low employee premiums.

• Optional benefits, including pet insurance.

• Life and disability insurance coverage.

• Retirement plans featuring a 401K employer match and a pension plan that vests after three years of service.

• Wellness incentives that include mental well-being resources, counseling services, stress management programs, and mindfulness initiatives.

• Generous paid time off policy.

• Tuition assistance for both undergraduate and graduate degrees.

• Employee recognition initiatives.

• On-campus flexibility for hybrid workers, with access to on-site resources, networking opportunities, and team engagement activities.

• Commuter benefits.

• Free, convenient on-site parking.

• Subsidized on-campus dining options.

• On-site health and wellness activities.

• Fitness and well-being center offering both in-person and virtual workouts, along with nutritional counseling.

• Recreational options on-campus, such as shuffleboard and ping pong.