Clinical Specialty Program Pharmacist - Remote

Primary Responsibilities

Support routine reporting to client management leadership regarding milestone attainment and any significant issues within their segment that may be impacting overall team performance.

Maintains understanding of individual client contracts and ensures proper execution of all relevant deliverables specific to those agreements.

Work with the Client Management Leadership Team to drive and execute toward strategic goals and objectives.

Collaborates with clients to establish achievable but aggressive specialty program goals, including support on patient care support, Specialty Drug list consultation and quality initiatives.

Formulates and delivers clinically-sound and fiscally responsible recommendations to clients based on trend.

Create action plans to address any client satisfaction concerns.

Stays aware of and provides market intelligence to clients on specialty pharmacy products.

Provides education for clients, pharmacists, members and physicians per contractual requirements.

Supports strategies around other revenue-enhancement efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client mgmt./sales teams where appropriate.

Routinely collaborates with client management leadership peers to provide well-coordinated, impactful quarterly performance review sessions with clients.

Serves a key resource for new clinical product/service ideation and liaison to clinical product development / management areas to create new or enhance existing programs.

Identifies and collaborates with clinical management leadership on specialty management strategies.

Drives enhanced client relationships through senior-level strategic discussions and planning which addresses issues of highest priority for the client.

Consistently looks at existing processes, methods, and materials to find opportunities for improvement.

Maintains strategic relationships with client leaders, key stakeholders, and brokers/consultants.

Serves as Subject Matter Expert (SME) for other departments on Specialty Pharmacy-specific issues/inquiries.

Lead departmental and interdepartmental workgroup and project work.

Required Qualifications

• Bachelor of Science in Pharmacy or PharmD
• Active, unrestricted US state-specific pharmacist license
• 2+ years of experience in PBM
• Experience with specialty pharmacy
• Experience with total cost of care
• Advanced proficiency in delivering presentations to various audiences
• Proficient skills in Microsoft Office and Outlook
• Willing to work with clients and colleagues across various time zones
• Ability to travel up to 10%

Preferred Qualifications

• 2+ years of PBM operations experience
• 2+ years of experience supporting PBM Healthplan clients
• Experience giving formal presentations
• Experience in data analytics and drawing insights
• Experience in Rx Claim
• Experience in MediSpan
• Advanced understanding of PBM industry

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary for this role will range from $91,700 to $163,700 annually based on full-time employment.