Pharmacy Benefits Strategist

5 days ago


Boise, Idaho, United States PacificSource Full time
Pharmacy Benefits Strategist

PacificSource is seeking a highly skilled Pharmacy Benefits Strategist to join our team. As a key member of our pharmacy team, you will play a critical role in designing, implementing, and coordinating pharmacy program initiatives.

Key Responsibilities:
  • Provide oversight and quality assurance for pharmacy benefit designs, formulary coding, network coding reporting, drug pricing, and PBM configuration testing and claims analysis.
  • Collaborate with Sales, Product Development, and Pharmacy teams to ensure accurate and optimal pharmacy benefit designs and initiatives.
  • Support Sales team by generating and analyzing claims data, formulary comparisons, and projections for new and existing groups.
  • Manage interface between vendor/consultant/client to ensure efficient coordination and implementation of coding, including appropriate oversight and monitoring of all PBM operations, data interfaces, and external communications.
  • Support formulary administrators and leadership on initiatives, tasks, and projects related to all aspects of the plans' pharmacy benefit for all lines of business (Medicare, Medicaid, Commercial).
Requirements:
  • Minimum of five years of experience within a healthcare field, preferably in managed care or pharmacy.
  • Strong computer skills, including Microsoft application software and data analysis tools.
  • Excellent verbal and business writing skills, with the ability to communicate complex data and analysis to internal and external teams.
  • Ability to work within tight timeframes and meet strict deadlines, with a strong attention to detail and ability to prioritize tasks.
What We Offer:
  • A dynamic and supportive work environment with opportunities for growth and development.
  • A competitive salary and benefits package, including medical, dental, and vision coverage.
  • A 401(k) retirement plan with company match.
  • Opportunities for professional development and continuing education.

PacificSource is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees. If you are a motivated and detail-oriented individual who is passionate about pharmacy benefits and data analysis, we encourage you to apply for this exciting opportunity.



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