Clinical Pharmacy Consultant

About the role

This role can be based in Atlanta, Chicago, Denver, Houston, Los Angeles, Phoenix, Portland & San Francisco, and offers a hybrid work arrangement, requiring a minimum of three days per week in the office.

Responsibilities

• Act as the specialty pharmacy resource for your assigned clinical team(s) to assist in the identification and management of potential and actual high cost claimants.
• Interpret pharmacy data reporting shared by the benefit administrators and leverage this information for selection of HCC cases for review.
• Participate in discussions with the benefit administrators’ clinical teams to identify strengths and opportunities in how the case is being managed and offer suggestions to shape the course of the member’s care moving forward.
• Create summary reports to Mercer H&B teams, coalition partners and/or clients in a clear and constructive manner.
• Participate in Pharmacy Practice meetings and ensure Mercer's point of view on effective pharmacy clinical management strategies is effectively communicated.
• Incorporate compliance and professional standards into all work processes, including transparency, peer review and maintaining required licensure.
• Monitor success of projects in terms of client satisfaction, scope, and timeliness of deliverables.
• Establish effective carrier/vendor relationships to represent Mercer and to serve our clients.
• Provide mentoring and coaching to team members on specialty medications and pharmacy management.
• Aid in the development of ongoing training presentations, and other learning collaterals used to influence care outcomes.
• Support wellness consulting projects by providing pharmacy subject matter expertise to cross-functional teams working in areas such as chronic conditions management, ensuring pharmacy insights meaningfully shape clinical and financial outcomes for our clients.
• Aid in the development of ongoing training presentations, and other learning collaterals used to influence care outcomes.
• Assist with other consulting projects as needed.

Requirements

• Active, unencumbered Pharmacy license.
• At least 7+ years relevant work experience in clinical pharmacy.
• Ability to navigate MS Office Tools (Word, Excel, PowerPoint, Teams).
• Clinical acumen to evaluate specialty medication regimens, make evidence-based recommendations and suggestions to shape the course of the member’s care moving forward.
• Prioritization and handling of multiple tasks in a demanding work environment.
• Strong communication skills with ability to share highly technical information in a non-technical fashion; strong business writing skills.
• Ability to partner and lead teams to produce client deliverables.
• Ability to work independently and on a team.

Qualifications

• Pharm.D. degree from an accredited college of pharmacy.
• Certified Specialty Pharmacy (CPS) with the National Association of Specialty Pharmacy.
• Experience supporting infused specialty medications.
• Experience in managed care settings.
• Experience conducting prior authorization reviews.
• Clinical payer (carrier) experience, including demonstrated clinical leadership.

Skills

• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.

Benefits

We are excited to offer the following benefits to all of our colleagues:

• Health and welfare benefits
• Tuition assistance
• 401K and other retirement savings programs
• Employee assistance programs, physical, mental and financial
• Mercer Cares, our community outreach and volunteerism BRG
• Virtual learning and development resources

Pay

The applicable base salary range for this role is $132,500 to $265,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis.

Schedule

All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.