Clinical Programs Advisor/Pharmacist
15 hours ago
SS&C Technologies is a leading provider of investment and financial services and software for the financial services and healthcare industries. As a global company, we have a presence in over 90 offices in 35 countries, with a diverse team of 20,000+ employees.
Job Summary:We are seeking a highly skilled Sr. Clinical Programs Advisor/Pharmacist to join our team. In this role, you will play a crucial part in the development and maintenance of standard and custom formularies at SS&C. Your expertise will ensure clinical appropriateness, accuracy, and consistency in formulary management, particularly in relation to Medicare Part D.
Key Responsibilities:- Review and validate clinical requests for benefit configuration changes, ensuring understanding of their intent and communicating details to internal stakeholders.
- Collaborate with Business SMEs to clarify issues and set priorities with Delivery Team Leads.
- Provide clinical support instructions, ensuring successful product acceptance and adherence to escalation procedures.
- Analyze metrics, approve process improvements, and review configuration and test results.
- Collaborate with cross-functional teams to enhance formulary management systems and support clinical activities that meet client needs.
- Assist in coordinating formulary activities, ensuring compliance with policies, best practices, and regulatory requirements.
- Offer expert consultation in formulary decision-making, contributing to ongoing improvements and strategic initiatives.
- Facilitate the submission of Part D formularies and review HPMS guidance in collaboration with compliance teams.
- Guide internal partners on downstream formulary activities, including adjudication and communications.
- Identify and analyze problems, producing results by establishing timelines and steps.
- Negotiate resolutions for significant or controversial issues, influencing and motivating others to achieve outcomes.
- Plan and coordinate work efforts, ensuring progress across multiple projects.
- Doctor of Pharmacy (PharmD) from an accredited pharmacy school.
- Licensed and registered Pharmacist (RPh) in good standing in the state of residence.
- Minimum of 3 years of Pharmacist experience in a managed care setting, including knowledge of drug information.
- General understanding of database and data management.
- Proficiency in MS Office Suite, specifically strong Excel skills.
- Experience with formulary management in commercial Medicare and/or Medicaid environments.
- Familiarity with the Pharmacy and Therapeutics Committee decision-making process.
- Deep understanding of Medicare Part D regulations and practices.
- Must have client interaction and be comfortable presenting on a regular basis.
- Strong attention to detail and strict adherence to timelines.
SS&C Technologies is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the basis of race, color, religious creed, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.
We offer excellent benefits, including health, dental, 401k plan, tuition and professional development reimbursement plan. If you are interested in this opportunity, please apply through our careers page on the corporate website.
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