Jobs · Healthcare · California

Clinical Operations Pharmacist

MedImpact Healthcare Systems, Inc. · San Diego, CA · 4 days ago
Healthcare$109k–$152k/yrFull-time

About the role

The Clinical Operations Pharmacist provides analytic/technical support to optimize the clinical quality and cost-effectiveness of drug and medical therapy, as applicable, for client plan sponsors and their members. This role focuses on rational management of drug utilization by employing analytical tools and an evidence-based approach to achieve lower net cost, better health outcomes, and higher levels of satisfaction for plan sponsors, and their members.

Responsibilities

  • Manages, contributes and assists in current priority, projects, programs or initiatives as defined by supervisor.
  • Provides clinical subject matter expertise and combines with business operations knowledge to ensure clinical and business appropriateness and success.
  • Assists with related analytic needs to support recommendations being considered by assigned clients that align with both the clients’ and MedImpact’s mutual goals of lower net costs and high clinical quality.
  • Supports clinical consultative services in accordance with contracted clinical services.
  • Supports analytics necessary for MedImpact’s evidence-based interventions and communication programs to clients.
  • Supports recommended clinically appropriate initiatives to optimize the value of MedImpact’s rebate administration program for clients while delivering on the lower net cost goal.
  • Supports MedImpact P&T Committee quarterly meetings and weekly FirstDataBank (FDB) and/or MediSpan drug updates.

Requirements

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).

One must be able to manage difficult or emotional client situations, respond promptly to client needs, solicit client feedback to improve service, respond to requests for service and assistance from clients, meet commitments to clients.

Qualifications

  • PharmD and 3+ years’ experience or equivalent combination of education and experience, and 1 year of SME in respective areas.
  • Valid Registered Pharmacist in the State of California or equivalent state.
  • Knowledge of Microsoft Office Suite and proficient knowledge of Access, Excel and relational databases.
  • Experience in Medicaid formulary management, including the development, maintenance, and oversight of state Preferred Drug Lists (PDLs).
  • Experience in promoting disease management and/or drug cost management programs.
  • Experience working with PBM or health plans.

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