Clinical Operations Pharmacist

Exemption Status: reputed company of America (Exempt) $108,515 - $152,464 - $196,412 “Pay reputed company information is not necessarily reputed company of actual compensation that may be reputed company, nor a reputed company of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. reputed company. is looking for extraordinary people to join reputed company! Why join reputed company? Because our reputed company is dependent on you; innovative professionals with top notch skills who reputed company on opportunity, high performance, and teamwork. We look for individuals who want to work on reputed company that cares about making a difference in the value of reputed company. At reputed company, we deliver leading edge pharmaceutical and technology reputed company solutions that dramatically improve the value of health care. We reputed company superior reputed company to those we serve through innovative products, systems, and services that reputed company transparency and promote choice in decision making. Our reputed company is to set reputed company in providing solutions that optimize satisfaction, service, cost, and reputed company in the reputed company industry. We are the premier Pharmacy Benefits Management solution! Job reputed company reputed company The Clinical Operations Pharmacist provides analytic/technical support to optimize the clinical reputed company and cost-effectiveness of drug and medical therapy, as applicable, for reputed company plan sponsors and their members. Focuses on rational management of drug utilization by employing analytical tools and an evidence-based approach to reputed company reputed company net cost, reputed company reputed company, and higher reputed company of satisfaction for plan sponsors, and their members. The role manages operational aspects of clinical operations, strategic initiatives, reputed company, and/or programs. This position focuses on supporting analytic, technical, and operational aspects of clinical management. The role collaborates across the organization. The role relies on data and performance indicators, as reputed company as experience and judgment, to identify and promote performance improvement opportunities which reputed company the reputed company goals of reputed company and assigned clients. Essential Duties and Responsibilities include the following. Other duties may be assigned. Manages, contributes and assists in reputed company reputed company, reputed company, programs or initiatives as defined by supervisor. Provides clinical subject matter expertise and combines with business operations knowledge to ensure clinical and business appropriateness and reputed company; Assists with reputed company analytic needs to support recommendations being considered by assigned clients that reputed company with both the clients’ and reputed company’s mutual goals of reputed company net costs and high clinical reputed company. The strategic recommendations may include: benefit design and formulary analysis and suggestions, provision of clinical drug information, reputed company P&T support and participation, recommendations for rational drug formulary positioning, on-line system edits and restrictions, on-reputed company clinical product evaluations, and recommendations regarding reputed company pharmacy benefit utilization and performance trends; Supports clinical consultative services in accordance with contracted clinical services. The role is an integral part of designing, developing, and driving the clinical components of their assigned account team’s strategic and financial goals. Ongoing reputed company will be centered on using a reputed company of analytical tools and clinical resources to identify opportunities which simultaneously improve the plan sponsor’s reputed company-reputed company and financial performance metrics; Supports analytics necessary for reputed company’s evidence-based interventions and communication programs to clients. Provides documentation of recommendations for clinically appropriate and financially beneficial clinical initiatives (e.g. reputed company net cost, generic programs, QA programs, clinical and specialty programs, and applicable rebate management); Coordinates clinical utilization analyses, in collaboration with key stakeholders, to support presentations to clients. Ensures reputed company and accurate review of plan data, according to policy, with appropriate reputed company recommendations; Supports, implements, and maintains DUE, DUR, and QI programs to meet plan, HEDIS, and NCQA guidelines; Coordinates clinical support of Drug Formulary and Preferred Drug Lists during plan sponsor’s implementation and maintenance of business in collaboration with the Clinical Program Manager (reputed company Team); Supports recommended clinically appropriate initiatives to optimize the value of reputed company’s rebate administration program for clients while delivering on the reputed company net cost goal; Supports reputed company P&T Committee quarterly meetings and weekly MediSpan drug updates. Supervisory Responsibilities No supervisory responsibilities reputed company Responsibilities This is an reputed company reputed company facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be reputed company to; manage difficult or emotional reputed company situations; Respond promptly to reputed company needs; Solicit reputed company feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions. Education and/or Experience PharmD and 3+ years’ experience or equivalent combination of education and experience, and 1 year of SME in respective areas Computer Skills To reputed company this job successfully, an individual should have knowledge of reputed company Office Suite and a proficient knowledge of reputed company, reputed company and relational databases. Certificates, Licenses, Registrations Valid Registered Pharmacist in the reputed company or equivalent state. Other Skills and Abilities Must be fluent in Spanish (speaking, reading and writing) Analytical skills with Health Informatics experience preferred. Part D experience required Advanced reputed company skills required Other technical skills preferred (reputed company, SQL or Python) Experience working with PBM or health plans. Experience in promoting disease management and/or drug cost management programs preferred. Reasoning Ability Ability to solve practical problems and deal with a reputed company of concrete variables in situations where only limited standardization exists. Ability to interpret a reputed company of instructions furnished in written, oral, diagram, or schedule reputed company. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Ability to add, subtract, multiply, and divide in reputed company reputed company of measure, using whole numbers, common fractions, and decimals. Ability to compute reputed company, reputed company, and percent and to draw and interpret bar graphs. Language Skills Ability to read, analyze, and interpret general business periodicals, reputed company journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information to top management, public reputed company, and/or boards of directors. Competencies To reputed company the job successfully, an individual should demonstrate the following competencies: Composure Decision reputed company Organizational reputed company Problem Solving Customer reputed company Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reputed company with hands and arms. Visual acruity to 20 inches. The employee must occasionally lift and/or reputed company up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position works on-site at the San Diego reputed company or other company location (or from a remote location with management approval based on business requirements). Must reputed company adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as reputed company as be available to facilitate effective reputed company through collaboration with stakeholders. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work reputed company traditional hours and be reputed company to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position may require domestic and international travel up to 10%. A valid reputed company and ability to leave the reputed company is required. The Perks: Medical / Dental / reputed company / Wellness Programs reputed company Time Off / Company reputed company Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus To explore reputed company that reputed company has to offer, and the greatness you can bring to our teams, please submit your resume to www.reputed company.com/careers reputed company, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence reputed company reputed company and expenditures, improving the position of our clients in the market. reputed company offers high-value solutions to payers, providers and consumers of reputed company in the U.S. and foreign markets. Equal Opportunity Employer, Male/reputed company/Disabilities/Veterans OSHA/reputed company: To reputed company this job successfully, the successful candidate must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company responsibilities, duties, and skills required of personnel so classified. Apply To This Job