Pharmacist Program Coordinator
4 weeks ago
We are seeking a highly skilled Pharmacist Program Coordinator to join our team at Summa Health System. This role will be responsible for managing medical benefit and specialty drug programs, ensuring that our members receive the best possible care while minimizing costs.
Key Responsibilities:
• Manage medical benefit and specialty drug programs to ensure compliance with regulatory requirements and company policies.
• Conduct first-line utilization management reviews and maintain/updating clinical criteria for drugs covered under the medical benefit.
• Develop and implement strategies to improve pharmaceutical care for our members and reduce total cost of drug therapy.
• Collaborate with providers and members to conduct clinically and financially meaningful interventions.
Requirements:
• Pharm. D. or Bachelor degree in pharmacy from an accredited College or School of Pharmacy.
• Must be a licensed pharmacist within the United States.
• Three (3) years experience working in a managed healthcare or home infusion environment, with working knowledge of clinical utilization management guidelines and medical benefit and specialty drugs, including two (2) years working knowledge of Medicare.
Preferred Qualifications:
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and prioritize tasks effectively.
Equal Opportunity Employer:
Summa Health System is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.
Salary Range:
$54.22/hr - $81.33/hr
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