Clinical Pharmacist II, COMM and Exchange

About the role

The Clinical Pharmacist II for COMM/Exchange will be responsible for developing and maintaining the COMM and Exchange pharmacy formularies to ensure appropriate coverage and cost effectiveness.

Responsibilities

• Pharmacy and Therapeutics committee support; preparing materials for committee members and collaborating with the PBM on materials that will be presented
• Participates as the Chair of the Drug Coverage Committee. Develops agenda and materials with the Clinical Pharmacy team that will be presented. Presents materials that are within scope and ensures committee attendees meet the quorum, and votes are received timely
• Assists in the development, implementation, and maintenance of clinical programs
• Formulary trend management:
  • Develops and implements clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes
  • Develops, analyzes, reports on clinical programs, handles, and coordinates between Pharmacy and other collaborators throughout Mass General Brigham Health Plan
  • Develops, implements, and leads managed care programs such as prior authorization and quantity limitations programs
  • Ensures clinical compliance with law and regulatory bodies
  • Develops educational materials, newsletters, member, and provider talking points, and disseminates clinical information for both internal and external audiences
• Participates in other committees as requested
• Works with the Clinical Pharmacy Associates to ensure coding is accurate and reflects the intent of the plan
• Supports other clinical pharmacy team functions as assigned
• Participates in department quality improvement efforts
• Performs other duties as assigned
• Complies with all policies and standards

Qualifications

• Doctor of Pharmacy degree required
• Pharmacist License required
• At least 3-5 years of experience working as a managed care pharmacist preferred

Skills

• Strong, demonstrated track record of the ability to execute on time, on budget, and on scope
• Strong aptitude for technology-based solutions
• Ability to inject energy, when and where it's needed
• Current in healthcare trends
• Demonstrated forward, visionary thinking; ability to see "what is" and envision "what could be"
• Ability to develop, introduce, defend, and gain support for new ideas and approaches
• Excellent leadership skills and leadership track record
• Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills
• Strong verbal, active listening, and written communication skills required
• Ability to view the long-range trends and cycles of the business and industry and see the "big picture"
• Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions
• Ability to challenge the status quo and drive innovative thinking, and the capability to successfully implement strategy
• Excellent interpersonal skills, including the ability to influence others at all levels of an organization
• Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback

Pay

• $134,316 - $164,087.04/Annual

Schedule

• Full-time role with a Monday through Friday schedule, generally 8:30 AM to 5:00 PM Eastern Time
• This position is eligible for remote work from approved U.S. locations, subject to organizational requirements
• Remote employees must maintain a stable internet connection and a secure, private, quiet workspace appropriate for handling confidential and protected health information
• Remote workspace requirements, including privacy and security standards, may be verified in accordance with organizational policy
• Scheduled Weekly Hours: 40