Pharmaceutical Services Specialist

1 week ago


Ohio, United States Lifelancer Full time

About the Role

We are seeking an experienced Clinical Pharmacist to join our team in Ohio, USA. As a Clinical Pharmacist II, you will play a crucial role in supporting our formulary and policy development, intervention programs for commercial and Medicare programs, partnering with sales teams, or health systems liaison.

Responsibilities may include:

  • Developing policies and strategies to engage members and/or providers and drive improvements in pharmaceutical care and pharmacy quality measures to decrease drug spend.
  • Addressing Medicare STAR drugs (STATIN, RASA, and non-insulin diabetes) adherence gaps.
  • Reviewing drug/medical literature, clinical practice guidelines, quality measures, and available national guidelines to support formulary, drug policy, or drug therapy interventions and creation of new initiatives.
  • Interacting with PBM/vendor oversight activities, including regular or ad-hoc audits of clinical programs.
  • Developing and implementing programs to communicate and educate internal staff, external brokers, strategic health systems, pharmacy chains, and provider groups.
  • Performing Consumer Assessment of Healthcare Providers and Systems (CAHPS)-focused interventions to improve drug plan perception.
  • Promoting the value-add of our pharmacy services with internal and external stakeholders, developing relationships and partnerships to support health systems engagement or sales efforts.
  • Assisting Sales in selling and renewing pharmacy services, or retaining business, by attending meetings, promoting pharmacy benefits and services, developing responses to Request for Proposal (RFP), recommending solutions to brokers and their clients, etc.
  • Collaborating with pharmacy departments within our strategic health systems, pharmacy chains, and provider groups to implement programs that better engage members to improve overall medication quality performance and cost of care for attributed populations.
  • Assisting in closing Medicare STARS-related gaps by completing Comprehensive Medication Reviews (CMRs), Medication Reconciliation Post-Discharge (MRPs), and In-Home Assessments (IHAs).
  • Partnering with internal departments, including Medicare STARS, Clinical Quality Health Services, Provider Network Management, HEDIS, and Customer Care, to develop and implement programs and clinical initiatives to support achievement of strategic goals.
  • Maintaining and sharing clinical knowledge and knowledge of prescription benefit trends.

Qualifications

To be successful in this role, you should have:

  • A Doctor of Pharmacy (Ph.D.) or Bachelor of Pharmacy degree with relevant experience.
  • At least 3 years of experience as a Clinical Pharmacist or equivalent experience in a managed care pharmacy setting.
  • Medicare/Medicaid experience is preferred.

Benefits

We offer a comprehensive benefits package, including:

  • Competitive salary range: $110,000 - $140,000 per year.
  • Employee bonus program.
  • 401(k) with company match up to 4% and additional company contribution.
  • Health Savings Account with company matching contribution.
  • Excellent medical, dental, vision, life, and disability insurance.
  • Access to an Employee Assistance Program, including professional counseling, personal and professional coaching, self-help resources, and assistance with work-life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity, or adoption.

About Us

Lifelancer is a talent-hiring platform connecting professionals with opportunities in Life Sciences, Pharma, and IT. We provide a diverse, inclusive, and welcoming culture with Business Resource Groups. Join us in growing our team and shaping the future of healthcare.



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