Clinical Program Advisor providing formulary consulting and modeling support for healthcare clients. Utilizing pharmacy expertise to ensure compliance and optimize client outcomes.
Responsibilities
Develop and execute formulary modeling for existing clients with close attention to detail and accuracy
Review custom Utilization Management policies for rebate eligibility or adherence to contract rebate terms
Analyze the financial impact of client requested formulary changes to both the client and Express Scripts
Ability to perform independent modeling with little to no modeling oversight by Sr. Manager/Clinical Director
Identifies and recommends process improvement to streamline formulary consulting modeling
Field clinical questions from other formulary consulting team members
Develop and execute formulary modeling opportunities for existing clients with strategy guidance from manager and in close partnership with business partners
Support standard utilization management review as needed
Create client presentations and present to senior leaders within client as required
Requirements
Bachelor’s degree in Pharmacy, Pharm.D. or Bachelor's degree, Finance or related area/MBA a plus
2+ years of pharmacy/ PBM/ Managed Care/healthcare related experience
1+ years of formulary management/development experience preferred
Detail Oriented, Organizational, and Analytical skills
Ability to work independently and execute on deliverables in a timely manner and with little oversight
Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
Financial or analytical modeling experience
Familiarity with pharmaceutical rebate contracts a plus
Proven ability to work in a fast paced – ever changing environment
Excellent relationship building and cross functional skills
Ability to travel approximately 10%.
Benefits
Health insurance
Vision insurance
Dental insurance
401(k)
Company paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Job title
Clinical Program Advisor – Supply Chain, Formulary Consulting
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