Clinical Pharmacist

okgov; Oklahoma; On-site; USD 101,000 - 124,000; Full time

Job summary

The Oklahoma Health Care Authority (OHCA) is seeking a Clinical Pharmacist to provide advanced clinical and technical support to pharmacy programs. This role emphasizes pharmacy data analytics, system logic evaluation, and optimization of healthcare technology platforms, including MMIS.

The incumbent will analyze claims data, evaluate edits, and collaborate on workflows to ensure program efficiency and compliance.

Qualifications

• Thorough understanding of pharmacy program operations.
• Experience with Medicaid programs and SoonerCare.
• Strong data querying and analytics skills using Excel.

Responsibilities

• Analyze pharmacy program data to recommend resource interventions.
• Review claims utilization and ensure compliant MMIS processing.
• Collaborate with Pharmacy Management Consultants on policy and budgeting.

Skills

Excel

Claims analysis

Clinical data querying

Pharmacy program ops

Tools

MMIS

Business Objects

Excel

Job description

Job Posting TitleClinical Pharmacist

Agency

807 HEALTH CARE AUTHORITY

Supervisory Organization

Pharmacy

Job Posting End Date

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

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 hea l th 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

T he 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 a ssists 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.
• C onsul ts /support s 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 Competenc y 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