Pharmacy Management Program Lead

2 days ago


New London, Connecticut, United States Gainwell Technologies Full time
About the Job

Gainwell Technologies is seeking a highly skilled Medical Pharmacy Solutions Specialist to join our team. As a Medical Pharmacy Solutions Specialist, you will be responsible for facilitating efforts in the development of medical pharmacy solutions programs. This includes developing clinical PA criteria recommendations and documents to present to P&T and/or DUR Board. You will also provide thorough reviews of clinical and pricing data to assist the P&T Committee or DUR Board in reviewing the Gainwell clinical criteria and PDL recommendations. Additionally, you will regularly review and monitor prescription claims data and prescribing practices identified as outliers to develop relevant Retrospective DUR initiatives. Present initiatives to the P&T or DUR Board including methods, interventions, communication, and outcomes.

Responsibilities

- Develop clinical PA criteria recommendations and documents to present to P&T and/or DUR Board.
- Provide thorough reviews of clinical and pricing data to assist the P&T Committee or DUR Board in reviewing the Gainwell clinical criteria and PDL recommendations.
- Regularly review and monitor prescription claims data and prescribing practices identified as outliers to develop relevant Retrospective DUR initiatives. Present initiatives to the P&T or DUR Board including methods, interventions, communication, and outcomes.
- Conduct telephonic consultations/interventions with physicians and prescribers identified as needing consultation to provide coaching on prescribing practices that have been identified as outliers.

Requirements

- 5 years' experience in clinical pharmacy.
- Ability to perform clinical reviews using relevant compendia and clinical trial data.
- Managed care pharmaceutical service experience plus experience with coaching physicians and prescribers on medication issues, especially on specialty medications.
- Strong research and implementation skills in practical settings.
- Analytical skills which can translate into practical and pragmatic recommendations.
- Strong team orientation with respect for all members.
- Strong verbal and written communications skills.
- Must be comfortable with using computers and the internet; basic skills with Microsoft office products and ability to quickly learn proprietary systems.

Benefits

We offer a competitive salary range of $85,000 - $110,000 per year, depending on experience, and a comprehensive benefits package including health insurance, retirement plan, and paid time off. You will also have the opportunity to work with a dynamic team and contribute to the development of medical pharmacy solutions programs.
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