Pharmacy Benefits Strategist
5 days ago
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).
- 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.
- 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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Senior Clinical Pharmacy Strategist
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Senior Clinical Pharmacy Strategist
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Boise, Idaho, United States PacificSource Full timeAbout the RolePacificSource is seeking a highly skilled Senior Clinical Pharmacy Strategist to join our team. As a key member of our Pharmacy Services department, you will play a critical role in developing and implementing clinical pharmacy strategies that drive quality, affordability, and patient outcomes.Key ResponsibilitiesDevelop and implement clinical...
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Senior Clinical Pharmacy Strategist
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Boise, Idaho, United States PacificSource Full timeAre you passionate about enhancing healthcare and making a difference? Join PacificSource and contribute to our mission of providing members with access to quality and affordable healthcare solutions. PacificSource is committed to equal employment opportunities. All qualified candidates will be considered for employment without regard to any protected...
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