Clinical Pharmacist: PBM Solutions & Client Success
Advanced Medical Pricing Solutions
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Job summary
Advanced Medical Pricing Solutions (AMPS) seeks a Clinical Pharmacist to serve as a pharmacy SME, delivering cost containment insights and utilization reporting for internal and external clients. You will help retain clients and support service staff with clinical and financial reviews.
The role emphasizes adherence to HIPAA, regulatory guidance, and collaboration across client teams to optimize plan benefits and ensure satisfaction.
Qualifications
- Bachelor's Degree or PharmD from an accredited US School of Pharmacy.
- Current Pharmacy License in good standing in the issuing state.
- Minimum 5–7+ years pharmacy experience in PBM/Managed Care.
Responsibilities
- Maintain HIPAA confidentiality for members and clients.
- Provide PBM/legal/regulatory guidance on requirements (PPACA, HIPAA).
- Review and support formularies and formulary management for PBM/MBR.
- Review Prior Authorization protocols and determine dispositions.
- Approve MAC lists and related cost-containment protocols.
- Support client retention, renewals, upsells, and satisfaction.
- Provide clinical and financial drug utilization insights for clients.
- Advise on Pharmacy Provider Contracting when needed.
- Develop and report Drug Utilization and financial impact analyses.
- Assist with new specialty, brand, and generic product introductions.
Skills
Education
Job description
Advanced Medical Pricing Solutions (AMPS) seeks a Clinical Pharmacist to serve as a pharmacy SME, delivering cost containment insights and utilization reporting for internal and external clients. You will help retain clients and support service staff with clinical and financial reviews.
The role emphasizes adherence to HIPAA, regulatory guidance, and collaboration across client teams to optimize plan benefits and ensure satisfaction.
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