Associate Director, Formulary Management
Clinical Consulting Solutions, Lisbon Falls, Maine, United States
UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!
Position Responsibilities
Oversee the development and maintenance of custom formularies for all non-Medicare lines of business including Commercial, Medicaid, and Health Information Marketplace/Exchange
Monitor and analyze regulatory and legislative requirements, develop project plans to meet requirements, and lead cross functional teams to implement programs to meet requirements
Oversee the implementation and maintenance of custom and standard formularies
Supports relationship with external partners/vendors (P&T, rebate aggregator, formulary management tool, etc.)
Facilitate communication to and education of clients, members, and internal staff regarding clinical issues and objectives
Supervise and coach direct reports in the performance of their duties including performance reviews and feedback to direct reports
Develop clinical criteria for review of non-formulary or non-preferred drug lists and communicate recommendations to clients
Evaluate drugs/drug classes and make formulary positioning and utilization management recommendations and formulary management strategies
Provide support to operational teams and clients during implementation
Analyze and interpret prescription claims data to identify opportunities to improve existing formulary management strategies
Supports quality improvement and clinical value projects, as required
Support Pharmacy and Therapeutics (P&T) committee items, as required
Support RFI and RFP submissions, as required
Support general business needs and operations, as required
Responsible for adherence to the company Code of Conduct including reporting of noncompliance.
Qualifications/Profile
Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance
Current, unrestricted registered pharmacist license(s)
Residency/fellowship preferred
6-8 years of pharmacy experience working for a health plan or PBM
Knowledge of highly managed specialty medications/strategy, formulary development and maintenance process, and pharmacy vs. medical medications
Proficient in Microsoft Office with emphasis on Microsoft Excel and Microsoft PowerPoint
Experience working with large datasets preferred
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
The pay range for this role is: 160,000 - 170,000 USD per year (Remote)
#J-18808-Ljbffr
Position Responsibilities
Oversee the development and maintenance of custom formularies for all non-Medicare lines of business including Commercial, Medicaid, and Health Information Marketplace/Exchange
Monitor and analyze regulatory and legislative requirements, develop project plans to meet requirements, and lead cross functional teams to implement programs to meet requirements
Oversee the implementation and maintenance of custom and standard formularies
Supports relationship with external partners/vendors (P&T, rebate aggregator, formulary management tool, etc.)
Facilitate communication to and education of clients, members, and internal staff regarding clinical issues and objectives
Supervise and coach direct reports in the performance of their duties including performance reviews and feedback to direct reports
Develop clinical criteria for review of non-formulary or non-preferred drug lists and communicate recommendations to clients
Evaluate drugs/drug classes and make formulary positioning and utilization management recommendations and formulary management strategies
Provide support to operational teams and clients during implementation
Analyze and interpret prescription claims data to identify opportunities to improve existing formulary management strategies
Supports quality improvement and clinical value projects, as required
Support Pharmacy and Therapeutics (P&T) committee items, as required
Support RFI and RFP submissions, as required
Support general business needs and operations, as required
Responsible for adherence to the company Code of Conduct including reporting of noncompliance.
Qualifications/Profile
Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance
Current, unrestricted registered pharmacist license(s)
Residency/fellowship preferred
6-8 years of pharmacy experience working for a health plan or PBM
Knowledge of highly managed specialty medications/strategy, formulary development and maintenance process, and pharmacy vs. medical medications
Proficient in Microsoft Office with emphasis on Microsoft Excel and Microsoft PowerPoint
Experience working with large datasets preferred
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
The pay range for this role is: 160,000 - 170,000 USD per year (Remote)
#J-18808-Ljbffr