Clinical Pharmacy Advisor — Formulary & PA Strategy

Mass Digital Health; Southborough (MA); On-site; USD 80,000 - 100,000; Full time

Job summary

Mass Digital Health is seeking a Clinical Advisor in Southborough, Massachusetts. This role involves utilizing pharmacy acumen and medication expertise to support prior authorization operations and collaborate with pharmacy staff. Key responsibilities include managing drug formularies, conducting clinical reviews, and recommending operational measures. Candidates should hold a Bachelor's in pharmacy and have recent managed care experience. Preferred qualifications include a PharmD and experience with Medicare Part D.

Qualifications

• Bachelor's degree in pharmacy or related fields is required.
• Doctor of Pharmacy (PharmD) from an ACPE accredited college is preferred.
• Managed Care or Clinical Residency program residency is highly preferred.

Responsibilities

• Serve as a subject matter expert in drug formularies and clinical programs.
• Work with stakeholders to translate product-specific requirements into technical design.
• Manage operations of the Pharmacy & Therapeutics (P&T) Committee.
• Perform clinical reviews of PA, Step Therapy, and drug utilization requests.
• Develop clinical utilization criteria for new market entries.

Skills

Pharmacy acumen

Healthcare payer knowledge

Medication expertise

Analytical skills

Communication skills

Education

Bachelor’s degree in pharmacy or related fields

Doctor of Pharmacy (PharmD)

Managed Care or Clinical Residency program

Tools

Micromedex

Lexicomp

Clinical Pharmacology

Job description

Mass Digital Health is seeking a Clinical Advisor in Southborough, Massachusetts. This role involves utilizing pharmacy acumen and medication expertise to support prior authorization operations and collaborate with pharmacy staff. Key responsibilities include managing drug formularies, conducting clinical reviews, and recommending operational measures. Candidates should hold a Bachelor's in pharmacy and have recent managed care experience. Preferred qualifications include a PharmD and experience with Medicare Part D.