Job Description
Job Summary:
The Pharmacist - Implementation is responsible for providing direct support to all new market implementations. This role will facilitate and execute all clinical implementation tasks in partnership with various internal and external stakeholders.
Essential Functions:
Work with internal and external stakeholders to execute all implementation tasks associated with new market implementation including, but not limited to formulary work, pharmacy benefit testing, clinical policy creation etc.
Review state contracts to ensure all clinical requirements are documented, met and executed.
Represent pharmacy implementation for all markets and products by providing readout, status and challenges associated with clinical implementation tasks.
Support the implementation of cost-effective formularies to drive best clinical practice
Provide clinical implementation oversight including working with the PBM and internal stakeholders to ensure output is compliant, accurate, and expected results are delivered/met
Support documentation of policies, procedures, and workflow documentation associated with market implementation
Perform any other job-related instructions as requested
Education and Experience:
Bachelor's degree in pharmacy is required; Doctor of Pharmacy Degree (PharmD) is preferred
Prior experience in clinical implementations, formulary development and execution, clinical configuration (including criteria development), medical drug management, configuration and testing, and claims oversight is required
A minimum of two (2) years of managed care experience required; Medicare, Marketplace, and/or Medicaid lines of business experience is preferred
Experience working with PBMs, process improvement and the implementation life cycle is required
Project management and process mapping experience is preferred
Competencies, Knowledge and Skills:
Ability to work flexibly and cross-functionally on a wide variety of projects
Ability to handle multiple priorities/projects simultaneously
Strong clinical expertise and healthcare administration understanding
Knowledge of PBM and medical drug claims workflow and processing applications
Demonstrated advanced computer skills/proficiency with Microsoft Word, Excel, search engines, and bibliographic software
Advanced analytical skills, with the ability to interpret and synthesize complex healthcare data and literature
Excellent verbal and written communications skills
Excellent presentation and decision-making skills
Excellent organization and tracking skills
Excellent problem solving skills
Ability to interface and collaborate with employees at all levels
Licensure and Certification:
Unrestricted registered pharmacist (RPh) Licensure in state of practice is required
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$92,300.00 - $161,600.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
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CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
