Job Description
Become a part of our caring community The Senior Clinical Pharmacist monitors clinical criteria in order to provide clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM to implement strategies and programs to mitigate cost trend and improve health outcomes. The Senior Clinical Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Clinical Pharmacist develops, maintains, and/or operationalizes preferred drug lists related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products. Conducts analysis on drug utilization trends to evaluate and inform process and build needs. Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Pharmacy Degree (PharmD or RPh) from an accredited School of Pharmacy Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state Must be passionate about contributing to an organization focused on continuously improving consumer experiences Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data Flexible, dynamic personality who works well in a team environment and is also an effective individual contributor Preferred Qualifications Health Plan experience Knowledge of Medicaid as it relates to pharmacy Six Sigma and/or Project Management Professional certification Pharmacy practice residency or similar pharmacy practice experience Proficient in Microsoft Applications
