Consultant, Formulary Administration Pharmacist

HealthPartners; Minnesota; On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

HealthPartners is seeking a Formulary Administration Consultant Pharmacist in Minnesota to manage formularies for Regulated Products across Medicare, State Public Programs, and Exchanges. The role includes development, maintenance, and communication of drug coverage policies and related materials.

Ideal candidates will have at least two years in managed care or clinical pharmacy, MN pharmacist licensure, and strong project management and communication skills to support initiatives across the

Qualifications

• Minimum of two years of experience in a managed care pharmacy or clinical pharmacy setting.
• Familiar with formulary maintenance and drug coverage policies.

Responsibilities

• Manage formulary of Regulated Products and communicate formularies and covered products.
• Assist in development, maintenance, and dissemination of formularies and covered products.
• Support Fraud, Waste and Abuse management, marketing and member materials.
• Support compliance and audit activities.
• Support Pharmacy Department initiatives.

Skills

Managed care experience

Clinical pharmacy

Project management

Communication skills

Time management

Education

Licensed Pharmacist in Minnesota

Job description

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.
• Education, Experience or Equivalent Combination: Health Insurance Exchange experience.
• Education, Experience or Equivalent Combination: 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!