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Clinical Pharmacy Executive

2 months ago

Montvale, New Jersey, United States EmpiRx Health Full time
Job Description

About Us:

EmpiRx Health is a leading pharmacy benefits management company that prioritizes clinically-driven solutions. Our mission is to empower customers and members by providing tailored pharmacy benefits, healthcare outcomes, and financial results.

Our Approach:

We focus on health outcomes first, placing our pharmacists and clinicians at the center of everything we do. Our population health solution delivers tailored strategies for our clients, leveraging our AI-powered pharmacy care platform, ClinicallyTM.

Key Responsibilities:

  • Develop new clinical strategies to improve member health by analyzing and interpreting prescription claims data.
  • Provide oversight of clinical programs developed by third parties.
  • Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations/supportive rationale for clinical management strategies.
  • Support growth of pharmacy product, as well as assist in developing a robust clinical management playbook and training platform for sales initiatives and client management.
  • Translate and decipher how current pharmacy/healthcare trends will affect our clinical strategies.
  • Provide drug information and act as the clinical consultant/expert on the account team.
  • Proactively make recommendations for clients to stay ahead of the curve regarding drug pipeline activity (new generics, new brands, new clinical rules and specialty).
  • Effectively collaborate with cross-functional teams to build consensus among all departments while supporting overall sales initiative.
  • Support RFI and RFP submissions.
  • Perform other responsibilities and projects on an as-needed basis.

Requirements:

  • At least five (5) years of pharmacy experience working for a leading Health Plan or PBM with an industry track record of highly managed clinical pharmacy benefit management strategies.
  • PharmD (required).
  • At least three (3) years of experience in analyzing raw prescription claims data in Excel.
  • Deep knowledge of highly managed specialty medications/strategy, formulary development and maintenance process, including rigorous evaluation of pharmaceutical products and ranking products based on value.
  • A solid understanding of what concierge service means as it pertains to client management.
  • Excellent written and oral skills, both in developing materials and presenting to senior clients.
  • Desire to work in a fast-paced, exciting start-up environment with the ability to multi-task and work outside the non-clinical environment.
  • Exceptional clinical, business, and relationship-building skills and must possess the ability to apply sound clinical judgment to a variety of situations.
  • Knowledge and ability to participate in the pharmacy benefits sales process.
  • Proficient in Microsoft Office Suite.
  • Ability to travel occasionally.
  • Extensive knowledge of inner workings of PBM or Health Plan pharmacy program.
  • Knowledge of PBM and pharmacy services contracts and contracting process.
  • Retail Pharmacist background.

Why EmpiRx Health:

  • We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
  • You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
  • We offer a generous and competitive benefits package.
  • You will share in the company's success through our discretionary bonus program.

EmpiRx Health is an Equal Opportunity Employer