Clinical Pharmacist US Healthcare And Specialty Pharmacy

Marsh Agency; Taguig; Hybrid; PHP 1,200,000 - 2,000,000; Full time

Job summary

Marsh seeks a licensed Pharmacist to join the MercerWell team in Manila on a hybrid basis, with a requirement to be in the office at least three days per week. The Pharmacy Consultant will work with clinical colleagues to manage complex cases and high-cost claimants, providing expert guidance on specialty medications and prior authorization criteria.

You will interpret data, build client-ready reports, and help shape pharmacy programs and negotiations with carriers.

Qualifications

• Active, unencumbered PRC Pharmacy license.
• At least 5+ years relevant work experience in clinical pharmacy.
• Proficient in MS Office (Word, Excel, PowerPoint, Teams).
• Prior experience with US healthcare system and high-cost claimants.
• Clinical acumen to evaluate specialty regimens and make evidence-based recommendations.
• Strong organizational skills and ability to lead small teams.
• Excellent written and verbal communication.

Responsibilities

• Act as specialty pharmacy resource for assigned clinical teams managing high-cost claimants.
• Interpret pharmacy data reports to select complex cases for review.
• Establish relationships with carriers/vendors for Mercer client book of business.
• Participate in Pharmacy Practice meetings and communicate Mercer’s views on clinical management models.
• Translate clinical findings into actionable program strategies to manage costs.
• Synthesize data into reports/presentations to clients with clear visuals.
• Lead case discussions with account executives and clinical teams to optimize care.
• Continuously improve clinical and pharmacy strategy through data-driven insights.

Skills

Pharmacy license

Clinical pharmacy

US healthcare experience

MS Office

Communication

Leadership

Prior authorization

Tools

MS Office Suite

Excel

PowerPoint

Teams

Job description

Job Description

We are seeking a talented, licensed Pharmacist to join our MercerWell team at Marsh. This role will be based in Manilla. This is a hybrid role that has a requirement of working at least three days a week in the office.

As a Pharmacy Consultant, you will impact patient outcomes by working as part of the clinical team responsible for assisting in the management of complex clinical cases that often result in evaluation of high-cost claimants. You will serve as the pharmacy subject matter expert for internal and external clinical partners collaborating on cases and providing education on specialty medication management. The role requires a strong understanding of specialty medication products, site- of- care redirection, channel management, medical necessity and prior authorization criteria, utilization management strategies, complex disease management and an understanding of the pharmacy medication pipeline.

We Will Count On You To

• Act as the specialty pharmacy resource for your assigned clinical team(s) to assist in the identification and management of potential and actual high-cost claimants (HCC).
• Interpret pharmacy data reporting shared by the benefit administrators and leverage this information for selection of HCC cases for review.
• Establish effective carrier/vendor relationships with assigned book of business to successfully represent Mercer and to serve our clients.
• Participate in Pharmacy Practice meetings and ensure Mercer's point of view on effective pharmacy clinical management strategies is effectively communicated.
• Communicate Mercer's point of view on effective clinical and pharmacy management program models and strategies to manage potential and actual high-cost claimants.
• Bring natural curiosity, an entrepreneurial mindset and a continuous quality improvement approach to evolve and enhance the clinical and pharmacy strategy and delivery of assigned book of business.
• Interpret claims and other data reports leveraging this information to effectively manage assigned book of business.
• Lead case discussions with the benefit administrators’ account executives and clinical teams to identify strengths and opportunities in how the case is being managed and offer suggestions to shape the course or impact the cost of the member’s care moving forward.
• Synthesize available data, develop engaging reports / presentations, effectively present results to clients in a clear and constructive manner using formats that allow for tracking results over-time to support continuous process improvement.

What You Need To Have

• Active, unencumbered PRC issued Pharmacy license.
• At least 5+ years relevant work experience in clinical pharmacy.
• Ability to navigate MS Office Tools (Word, Excel, PowerPoint, Teams) to produce client deliverables.
• Prior experience working with US healthcare system, performing clinical program audits or working with specialty medications and high-cost claimants.
• Clinical acumen to evaluate specialty medication regimens, make evidence-based recommendations and suggestions to shape the course of the member’s care moving forward.
• Proven organizational skills with ability to prioritize and handle multiple tasks in a demanding work environment working independently and leading small teams.
• Strong communication skills with ability to share highly technical information in a non-technical fashion; strong business writing skills.

What Makes You Stand Out

• Graduate level specialty education pharmacy or a related field such as clinical pharmacy or public health.

Why Join Our Team

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X.

Marsh is committed to providing an inclusive work environment. We aim to attract and retain the best, most qualified people and value colleagues of all backgrounds, without regard to age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.