Pharmacy Clinical Consultant

1 week ago

Coeur d'Alene, Idaho, United States Cambia Health Full time
About the Role

Cambia Health is seeking a highly skilled Pharmacy Clinical Consultant to join our team. As a key member of our Health Service Organization, you will play a pivotal role in designing, implementing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to pharmacy services.

This is an exciting opportunity to work with a talented team of professionals who are passionate about making healthcare easier and lives better. If you are a pharmacist with a strong background in clinical pharmacy practice and a desire to drive clinical excellence and cost containment in pharmacy services, we encourage you to apply.

Key Responsibilities
  • Lead the identification of clinical areas for product development and execute clinical programs to meet member needs, including pilots with strategic partners.
  • Stay abreast of industry trends and market differentiating clinical strategies to maintain competitive knowledge.
  • Analyze utilization trends and quality outcomes, providing creative solutions to support cost containment, quality improvement, and regulatory compliance.
  • Evaluate and select vendor clinical offerings that align with Regence's clinical and business goals, and negotiate, monitor, and manage vendor performance.
  • Contribute to pharmacy clinical strategies, formulary development, policy development, benefit design, and utilization management initiatives.
  • Regularly assess and refine clinical product offerings to maintain a competitive portfolio with strong ROI, and design/improve clinical and operational processes to support exceptional member experiences and operational efficiency.
  • Provide consultative expertise to strategic partners, plan leadership, purchasers, and other stakeholders, and mentor/coach pharmacy students and residents as needed.
  • Provide consultative expertise and coaching to internal RN and SW case managers, attend clinical rounds when appropriate to support care management process and initiatives.
Requirements
  • Bachelor's degree in a health-related field
  • 4 years of experience in ambulatory care/hospital/pharmacy benefit management
  • Pharm.D. degree and experience in pharmacy benefit management and clinical program development is preferred
  • Must be an active and unrestricted licensed pharmacist in the state of practice
What We Offer

Cambia Health offers a competitive salary range of $119,900 - $162,200 depending on skills, experience, education, and training; relevant licensure / certification is required. We also offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

If you are a motivated and experienced pharmacist looking for a new challenge, we encourage you to apply for this exciting opportunity to join our team at Cambia Health.

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