Pharmacy Clinical Consultant

4 weeks ago


Boise, 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 be responsible for designing, implementing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to pharmacy services.

Key Responsibilities:

  • Lead the identification of clinical areas for product development and execute clinical programs to meet member needs.
  • 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.

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 are an equal opportunity employer and welcome applications from diverse candidates.



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