Managed Care Pharmacy Expert

4 days ago


Cleveland, Ohio, United States Pharmacy Careers Full time
Job Description

We are seeking a skilled Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care to oversee medication utilization, formulary management, and ensure cost-effective pharmacy services.

Key Responsibilities:
  • Collaborate with healthcare stakeholders to implement and optimize pharmacy benefit programs
  • Conduct formulary reviews and assessments to ensure cost-effective and evidence-based medication choices
  • Monitor and analyze pharmacy utilization trends, identifying opportunities for cost savings and improved patient outcomes
  • Provide expertise in drug utilization management and prior authorization processes
  • Stay informed about industry regulations, guidelines, and emerging trends in managed care pharmacy
Requirements

To be successful in this role, you will need:

  • A PharmD degree from an accredited pharmacy program
  • Previous experience in Pharmacy Benefit Management (PBM) or Managed Care
  • Knowledge of formulary development and management
  • A state pharmacy license in good standing
  • Strong analytical and data interpretation skills
  • Excellent communication and negotiation abilities
  • Familiarity with healthcare regulations and compliance standards
  • Collaboration experience with healthcare providers, payers, and pharmaceutical manufacturers
  • Proficiency in utilizing pharmacy management software and tools
  • Active participation in relevant professional organizations
  • Dedication to staying informed about industry trends and innovations
Compensation

The estimated annual salary for this position is $120,000 - $150,000, depending on location and experience.



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