Clinical Pharmacist — Hybrid Health Plan Analytics

Wellmark, Inc.; Des Moines (IA); Hybrid; USD 120,000 - 150,000; Full time

Benefits offered by this job

Hybrid work model

Remote work option

Job summary

Wellmark, Inc. is seeking an Associate Clinical Pharmacist to blend clinical pharmacy expertise with analytics.

You will evaluate opportunities focused on quality, affordability, and member outcomes, help develop formularies and evidence-based criteria, perform drug utilization analyses, and track outcomes to demonstrate value. You will collaborate with Business Analytics, Actuarial, and Health Services teams to assess impact and improve pharmacy programs.

Qualifications

• Bachelor’s in Pharmacy or PharmD is required.
• Active and unrestricted license in IA or SD within 6 months of hire.
• 2+ years in retail pharmacy operations; other pharmacy settings favored.
• Strong analytical, problem-solving and communication abilities.

Responsibilities

• Assist in developing and implementing pharmacy programs to promote quality and cost-effective drug use.
• Support drug utilization management, formulary management, and DUR activities.
• Research and synthesize clinical data for therapeutic reviews and formulary decisions.
• Develop evidence-based prior authorization criteria and assess medical necessity for coverage.
• Coordinate drug therapy interventions to improve outcomes and reduce costs.
• Collaborate with pharmacists, technicians, and physicians to meet program goals.
• Prepare materials for network physicians and conduct drug monographs for committees.
• Ensure compliance with applicable regulatory standards and guidelines.

Skills

Analytical thinking

Problem solving

Communication skills

Team collaboration

Excel skills

Organizational skills

Education

Bachelor's Degree in Pharmacy or PharmD

Tools

Microsoft Office

Excel / Pivot tables

Job description

Wellmark, Inc. is seeking an Associate Clinical Pharmacist to blend clinical pharmacy expertise with analytics.

You will evaluate opportunities focused on quality, affordability, and member outcomes, help develop formularies and evidence-based criteria, perform drug utilization analyses, and track outcomes to demonstrate value. You will collaborate with Business Analytics, Actuarial, and Health Services teams to assess impact and improve pharmacy programs.