Manage Care Clinical Pharmacist

Job Title: Managed Care Clinical Pharmacist
Job Category: Managed Care Clinical Pharmacist
Department/Group: Clinical Strategy
Internal Team:

Job Description

ROLE AND RESPONSIBILITIES
Under the direct supervision of Vice President of Clinical Strategy, assists in coordinating and supporting all clinical strategy activities and projects in accordance with the established policies and standards as well as state and federal regulations including HIPAA.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• Doctor of Pharmacy (PharmD) degree from an ACPE-accredited school of pharmacy.
• Licensure: Current, active and in good standing pharmacist license in the state of employment
• Must be proficient and efficient in independent remote work. Must have reliable internet and cell phone service.
• Excellent communication, presentational and interpersonal skills.
• Excellent clinical knowledge and analytic abilities
• Strong Microsoft Excel, PowerPoint and Word skills.

Duties include but not limited to:

• Perform and assists in preparing for-
  • Managed Care Business Reviews by analyzing pharmacy claims data
  • Create and update cost grids using AWP, WAC and ASP for internal and external stakeholders
  • Monitor and create pipeline presentations with actionable recommendations
  • Budget and pipeline forecasting
  • Open Sales and Managed Care education
  • Pharmacists and nursing education
  • Enhanced clinical outreaches
  • Participates in real world research projects
  • Assist with compliance and accreditations
  • Other presentations and projects as necessary
  • Prepare and present at Professional Advisory Committee
• Assists in creating Clinical Strategy
• Assists in research and provide drug information as needed.
• Assist in coordination of APPE and AE students.
  • Projects
  • On boarding and ensure smooth transition.
• Assists in Educational Accreditation (CAPE, ACPE, BRN etc).
• Maintain clinical strategy related folders in TEAMs and Sharepoint
• Performs other duties and tasks as assigned.

PREFERRED SKILLS

• Knowledge of contemporary specialty pharmacy practice and healthcare requirements.
• Strong clinical acumen in specialty pharmacy disease states (Immunology, MS, RA, Oncology, Rheum etc.)
• Demonstrated organizational and leadership skills.

*Required*
Current, active and in good standing pharmacist license in the state of employment