Pharmacist - Clinical Strategy Pharmacy Execution

Job Summary:

The Pharmacist - Clinical Strategy Pharmacy Execution is a high-functioning individual contributor role responsible for providing direct support to the Pharmacy Clinical Strategy team to support and facilitate the creation, implementation, and execution of pharmacy clinical strategy.

Essential Functions:

• Coordinate the implementation and execution of the Clinical Strategy, Formulary Strategy, Pharmacy Benefit Design and Testing, and Medical Drug team initiatives and projects for all CareSource markets and products
• Monitor and report on projects being supported
• Assess market trends and competitors to identify threats and opportunities and feed data to Pharmacy Clinical Strategy team leadership for future initiatives
• Assist with research, development, implementation, and quality checks of clinical policy and clinical decision-making tools use by CareSource teams
• Support the implementation of cost-effective formularies to drive best clinical practice
• Support the development of pharmacy and medical benefit design best practices and testing strategies
• Aid in both PBM and medical drug claims oversight processes
• Support the development and implementation of quality and affordability initiatives to improve clinical outcomes while controlling the total cost of care
• Identify processes that improve pharmacy clinical strategy effectiveness and build a sustainable competitive advantage
• Support the documentation of policies, procedures, and workflow documentation
• Perform any other job related instructions as requested

Education and Experience:

• Bachelor's Degree in Pharmacy is required; Doctor of Pharmacy Degree (PharmD) is preferred
• A minimum of two (2) years of experience in at least one of the following required: clinical pharmacy (evidence based medicine and literature evaluation, drug criteria development, drug pipeline), formulary development and strategy, pharmacy benefit design and configuration, and medical drug management
• A minimum of two (2) years of managed care experience required. Medicare, Marketplace, or Medicaid lines of business experience is preferred
• Experience in clinical drug analysis, formulary management, medical drug management, benefit configuration, claims oversight, and testing preferred
• Project management and process mapping experience is preferred

Competencies, Knowledge and Skills:

• Must be able to work flexibly and cross-functionally on a wide variety of projects
• Ability to handle multiple priorities/projects simultaneously
• Strong clinical expertise and healthcare administration understanding
• Knowledge of PBM and medical drug claims workflow and processing applications
• Demonstrated advanced computer skills/proficiency with Microsoft Word, Excel, search engines, and bibliographic software
• Advanced analytical skills, with the ability to interpret and synthesize complex healthcare data and literature
• Excellent verbal and written communications skills
• Excellent presentation and decision-making skills
• Excellent organization and tracking skills
• Excellent problem solving skills
• Ability to interface and collaborate with employees at all levels

Licensure and Certification:

• Unrestricted registered pharmacist (RPh) Licensure in state of practice is required

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:
$92,300.00 - $161,600.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Salary

Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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