Consultant, Formulary Administration Pharmacist

HealthPartners; Minneapolis (MN); In loco; USD 120.000 - 160.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health Insurance

Dental Insurance

Retirement Program

Tuition Reimbursement

Descrizione del lavoro

HealthPartners is seeking a Formulary Administration Consultant Pharmacist to oversee formulary management for Regulated Products including Medicare, state programs, and exchanges. The role emphasizes development and communication of formularies, and support for compliance, FWA and reporting.

The ideal candidate will have at least two years in a managed care or clinical pharmacy setting, or a managed care residency, and must be a licensed Minnesota pharmacist with strong communication and

Competenze

• Minimum of two years of experience in a managed care or clinical pharmacy setting; or completion of a managed care residency program.
• Licensed Pharmacist in Minnesota.

Mansioni

• Oversee formulary management for Regulated Products (Medicare, State Public Programs, Exchange).
• Develop and communicate formularies and covered products.
• Support FWA management, marketing materials, and compliance initiatives within Pharmacy.
• Assist in overall Pharmacy Department initiatives.

Conoscenze

Formulary maintenance

Drug coverage policies

Project management

Verbal and written communication

Time management

Attention to detail

Independent work

Multi-project handling

Descrizione del lavoro

HealthPartners is looking to hire a Formulary Administration Consultant Pharmacist to join our team!Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary:

This position is responsible for the formulary management of Regulated Products (Medicare, State Public Programs, Exchange, and Federal Employees Programs). The consultant will assist in the development, maintenance, and communication of all formularies and covered products. Areas of focus include Regulated Products formulary and benefits; Fraud, Waste and Abuse (FWA) Management, Marketing and Member Materials, Compliance and Audit Support. The position also supports Pharmacy Department initiatives.

Work Schedule:

Standard business hours

Required Qualifications:

Education, Experience or Equivalent Combination:

• Minimum of two years of experience working in a managed care pharmacy or clinical pharmacy setting or completion of a managed care pharmacy residency program.

Licensure/ Registration/ Certification:

• Licensed Pharmacist in Minnesota.

Knowledge, Skills, and Abilities:

• Familiar with formulary maintenance.


• Familiar with the development of drug coverage policies and utilization management programs.


• Demonstrated skill in problem solving, planning, organizing and time management.


• Demonstrated skill in effective project management including use of project planning and tracing tools, achievable goals, objectives, and timelines, and innovative use of resources.


• Excellent verbal and written communication skills. Excellent attention to detail and accuracy.


• Ability to manage multiple projects simultaneously. Ability to solve problems with minimal direction.


• Self-motivated with critical thinking ability and ability to work independently.


• Must be able to establish and maintain effective, courteous, and confidential relationships with coworkers, staff, employer groups, and members.

Preferred Qualifications:

Education, Experience or Equivalent Combination:

• Medicare Part D experience.


• Health Insurance Exchange experience.


• Experience with Minnesota State Public Programs (e.g., Medicaid)

Knowledge, Skills, and Abilities:

• Pharmacy Benefit Management experience including formulary and utilization management experience.

Benefits:

• HealthPartners offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, and much more!