Clinical Pharmacist

State of Oklahoma; Oklahoma; On-site; USD 96,000 - 130,000; Full time

Benefits offered by this job

State-paid benefit allowance

Insurance plans with no pre-existing条件

Flexible Spending Accounts

Retirement Savings Plan with employer

Job summary

State of Oklahoma in Oklahoma City seeks a Clinical Pharmacist to provide advanced clinical and technical support for the agency's pharmacy programs, focusing on data analytics, system logic evaluation, and optimization of healthcare technology platforms, including MMIS.

The role involves analyzing complex claims data, evaluating system edits, and collaborating on technical workflows to ensure program efficiency and compliance.

Qualifications

• Requires license to practice pharmacy in Oklahoma plus 3 years of pharmacist experience.
• Experience with data analytics, policy development, budget planning, and vendor contracts preferred.

Responsibilities

• Analyze pharmacy program data and recommend cost-effective interventions.
• Analyze claims using MMIS, Business Objects, and Excel.
• Collaborate with Pharmacy Management Consultants on education projects.

Skills

Data analytics

Excel

Business Objects

Claims analysis

Education

Oklahoma Pharmacist license

PhD in Pharmaceutical Services

Tools

MMIS

Business Objects

Excel

Job description

Job Posting End Date

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Job Posting Title

Clinical Pharmacist

Agency

807 HEALTH CARE AUTHORITY

Supervisory Organization

Pharmacy

Full/Part-Time

Full time

Job Type

Regular

Compensation

$112,705/year

Why You’ll Love Working Here

At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values, Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership, we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA.

Let’s Talk Benefits

• Generous state-paid benefit allowance to offset insurance premiums.
• A wide selection of insurance plans with no pre-existing condition exclusions.
• Flexible Spending Accounts for health care and dependent care.
• Retirement Savings Plan with employer contributions.
• 11 paid holidays annually.
• 15 days of vacation and 15 days of sick leave in the first year.
• Longevity Bonus recognizing years of public service.
• Public Service Loan Forgiveness eligibility and tuition reimbursement.
• Wellness benefits, including an on-site gym and fitness center discounts.

Job Description

Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105

Salary: $112,705/year

Work Schedule: Monday – Friday

Primary Hours: 8:00 a.m. – 5:00 p.m.

Agency/Division Information: The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agency’s core values include passion for purpose, trust and transparency, empowerment and accountability, best in class and outcome-driven, and servant leadership. As part of the interview process, candidates may be required to attend an in-person interview at our Oklahoma City office.

Position Purpose: The Pharmacist provides advanced clinical and technical support to the agency's pharmacy programs. This role focuses heavily on pharmacy data analytics, system logic evaluation, and the optimization of healthcare technology platforms, including MMIS. The incumbent will analyze complex claims data, evaluate system edits, and collaborate on technical workflows to ensure program efficiency and compliance.

Essential Functions May Include

• Analyzes pharmacy program and recommends interventions for cost-effective use of resources.
• Analyzes claims utilization for clinical issues using MMIS, Business Objects, and Excel.
• Designs and drafts member and provider intervention and education projects working with Pharmacy Management Consultants at the OU College of Pharmacy.
• Supports and assists Pharmacy Director with policy development through reporting and analysis, budget planning, rule drafting, and State Plan amendments.
• Supports and assists Pharmacy Director with MMIS claims processing enhancements such as new edits or audits.
• Directs and monitors pharmacy program contractor activities and assists in contract language, negotiation with contractor representatives, appropriations process, agency contracting process, and invoice reconciliation for all vendor contracted activities affecting the pharmacy department. These programs include but are not limited to: State Maximum Allowable Cost, Prior Authorizations, and Drug Utilization Review.
• Develops, operationalizes, and assists in the development of a disease and medication therapy management program. This function may include policy development, State Plan Amendments, CMS waivers, administrative rules, rate-setting, the RFP process, provider and vendor contracts, budgeting, and monitoring.
• Collaborates with Managed Care plans for oversight, implementation, and evaluation of the SoonerSelect Pharmacy program.
• Interacts with SoonerCare members regarding prescription issues while working toward resolution.
• Consults with provider pharmacists and physicians related to the pharmacy program.
• Consults/supports agency departments regarding pharmacy issues.
• Represents OHCA regarding pharmacy issues with external stakeholders and at various meetings.
• Other duties as assigned.

Knowledge, Skills, Abilities And Competency Requirements

This position requires a thorough understanding of pharmacy program operations, Medicaid programs such as SoonerCare, and changes in the pharmaceutical industry and their impact on healthcare delivery systems. Key qualifications include a strong technical aptitude and database familiarity, with advanced skills in clinical data querying, Excel, and claims analysis to evaluate system edits and program trends. Candidates must possess expertise in policy development, budget planning, and vendor contract negotiation, along with the ability to establish and maintain effective relationships with stakeholders, analyze and resolve complex pharmacy issues, and design member and provider intervention programs. Success in this role requires strong communication, collaboration, and strategic decision-making to optimize work processes and drive cost-effective resource use. Additionally, candidates must demonstrate accountability, financial acumen, and the ability to manage complexity while fostering collaboration, embracing new technology, and ensuring program compliance.

• To be considered for this position your application must include a resume/CV with complete work and education history.

Education And/or Experience

• Valid license to practice pharmacy in the State of Oklahoma plus 3 years of experience as a pharmacist OR
• A PhD in Pharmaceutical Services and a valid license to practice pharmacy in the State of Oklahoma

Preferred Qualifications Include

• Strong technical and data analytics proficiency, including experience with Excel, reporting tools (e.g., Business Objects), or healthcare database querying.
• Experience with or aptitude for pharmacy claims analysis, MMIS, Drug Utilization Review (DUR), or pharmacy benefit management (PBM) platforms.
• Proven ability to quickly learn complex software systems, claims processing rules, and technical workflows.
• Knowledge of Medicaid programs (such as SoonerCare / SoonerSelect) and managed care pharmacy operations.

Physical Demands and Work Environment

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, stand, walk, and reach with their hands and arms. This position requires extended periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of this position.

Accommodation Statement

The Oklahoma Health Care Authority complies with applicable State and Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.