- Serve as an expert in medication utilization and pharmacy therapeutic, utilization and economic data
- Collaborate with analytics, nurse case managers, medical directors, network physicians and senior pharmacy leadership in identifying, developing and leading execution of key strategies and tactics to support total cost of pharmaceutical care and population health
- Apply therapeutic knowledge and analytic acumen to collaborate with analytics and care management programs to lead tactical development and execution of cost-effective, high quality and clinically relevant pharmacy programs and services
- Provide pharmacy and medical trend insights while analyzing opportunities to optimize formulary, utilization management, innovative pricing and emerging rebate opportunities
- Conduct clinical and analytical evaluations of medication pipeline, supporting clinical policy development and application for our populations and clients
- Develop and execute customized solutions for clients and groups that is meaningful and market differentiating in high quality, total cost of care driven for members
- Support pharmacy rebate and network programs through pricing and contracting strategies
- Research and explain clinical and business aspects of drugs and associated strategies to internal business partners
- Contribute and participate in clinical and/or financial meetings that manage drug and class review, supporting RFP development, group proposals and reviews, Pharmacy & Therapeutics Committee, and physician engagement and prescribing detailing
- Oregon
- Washington
- Pharm D: Graduate from an accredited College or School of Pharmacy -OR- Bachelor's -OR- Master's Degree in Pharmacy and 5+ years of managed care experience with with experience documenting responsibility for evidence and clinical case review and direct consultation of medication information with physicians and/or patients
- Completion of a PGY-1 Residency
- Completion of specialty/PGY-2 in Pharmacy Outcomes/Healthcare Analytics -OR- 3+ years of experience in pharmacy outcomes and healthcare analytics with documented responsibility for utilizing pharmacy data that supports trend management, pharmacoeconomic evaluations, and initiative/program development and execution
- Oregon
- Experience in writing, including research protocols, medical papers for publication, and educational pieces for patients and healthcare providers
- Experience reviewing medication evidence and clinical policy development
- Experience working in programs and services that support population health management
- Advanced skill set in Microsoft Applications, inclusive of pivot tables
- Experience retrieving data and conducting data driven analyses, coupled with applied therapeutics
- Experience utilizing various analytics tools, software and techniques
- Experience presenting findings and recommendations to broader audience, including senior leaders
- Hands-on experience with SQL queries
- Intermediate or higher level skillset in Microsoft Applications
- Intermediate or higher level skillset with Pivot Tables
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Senior Clinical Pharmacy Specialist Remote - Beaverton, United States - Providence Health & Services
Description
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Providence Health Plan is calling a Senior Clinical Pharmacy Specialist who will:
Required qualifications for this position include:
Preferred qualifications for this position include:
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
