Clinical Pharmacist IV

Description

Medica's Clinical Pharmacists works in conjunction with key internal and external stakeholders to drive the strategy supporting the pharmacy formularies, utilization management (UM), and clinical programs.

Areas of focus include Commercial formulary optimization, pharmacy pipeline monitoring / utilization predictions, formulary assessment and new UM policy development to support formal Pharmacy & Therapeutics (P&T) Committee approvals. The incumbent will keenly anticipate key market events and incorporate into strategic recommendations in consideration with local or regional trends.

Key Accountabilities

• Monitor the drug pipeline and partner with Analytics to predict utilization impact
• Evaluate clinical literature to draft clinical drug information to support formulary placement and UM strategies for all classes of drugs presented for approval at P & T
• Partner with internal clinical pharmacy team and Analytics to analyze pharmacy trends to develop negative trend mitigation strategies
• Understand and promote clinical pharmacy program strategies such as biosimilar utilization optimization
• Serves as clinical pharmacy subject matter expert and advisor
• Actively participate in internal and external clinical pharmacy meetings necessary to support key accountabilities
• Educate and promote targeted performance improvement opportunities across the enterprise
• Oversees and partners with key stakeholders in formulary management, clinical programs, and regulatory and compliance needs

Strategic goals are focused on clinical and financial performance, and collaborative development of success metrics to evaluate the performance of each program and initiative. The individual in this role will ensure that such work is done in compliance with applicable state and federal regulations.

It's important that our Clinical Pharmacist has a strong understanding of P & T processes, PBM and / or health plan business practices, and the competitive landscape. This position will need to effectively navigate a large health care organization and understand the unique needs of customers including members, providers, and internal peers.

Qualifications

Certifications / Licensure

Skills and Abilities

This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

The full salary range for this position is $111,200 - $190,600. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting.

Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity / Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Salary : $111,200 - $190,600