Clinical Pharmacist, Pharmacy Strategy & Analytics

Medica Services Company LLC; Minnetonka (MN); On-site; USD 110,000 - 150,000; Full time

Job summary

Medica is seeking a Clinical Pharmacist to advance pharmacy strategy, utilization management, and regulatory compliance across a matrixed organization. This role applies clinical expertise and data analysis to identify opportunities, evaluate spend and trend drivers, and support programs that improve outcomes.

You will partner with PBMs on formulary execution, translate complex data into actionable insights, and coordinate regulatory activities while collaborating with internal and external

Qualifications

• Bachelor's degree in Pharmacy required; PharmD preferred or equivalent experience in related field.
• 7+ years of related pharmacy experience beyond degree.

Responsibilities

• Monitor pharmacy utilization, spend, and trend performance; identify key cost drivers, emerging patterns, and areas of opportunity across the pharmacy benefit.
• Partner with Analytics and business stakeholders to conduct pharmacy spend and trend analysis, including forecasting, utilization impact assessment, variance analysis, and development of actionable insights.
• Develop and support evidence-based strategies to mitigate adverse pharmacy trends and improve clinical and financial performance, including targeted clinical program and utilization management opportunities.
• Serve as a clinical pharmacy subject matter expert and advisor to internal partners; translate complex pharmacy information and data into clear recommendations for decision makers.
• Oversee and coordinate pharmacy-related operational, regulatory, and compliance activities, including required reporting, submissions, audits, transparency requests, and documentation.
• Collaborate with pharmacy vendors, PBM partners, provider organizations, and other external stakeholders to support effective pharmacy program operations and performance.
• Partner closely with PBM partners on formulary execution, including implementation and maintenance of formulary changes, operational alignment, issue resolution, and ongoing monitoring to ensure intended formulary strategy is accurately executed.
• Identify and communicate targeted performance improvement opportunities across the organization and support implementation through cross-functional collaboration.
• Respond to member, provider, client, and internal stakeholder questions or issues related to pharmacy services in a professional and timely manner.
• Participate in clinical pharmacy meetings, workgroups, and cross-functional initiatives necessary to advance strategic, operational, and performance objectives.

Skills

Pharmacy operations

Utilization management

Analytics

Regulatory affairs

PBM collaboration

Education

Bachelor's degree in Pharmacy

PharmD preferred

Job description

Medica is seeking a Clinical Pharmacist to advance pharmacy strategy, utilization management, and regulatory compliance across a matrixed organization. This role applies clinical expertise and data analysis to identify opportunities, evaluate spend and trend drivers, and support programs that improve outcomes.

You will partner with PBMs on formulary execution, translate complex data into actionable insights, and coordinate regulatory activities while collaborating with internal and external