Consultant, Formulary Administration Pharmacist

HealthPartners; Northern (KY); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Retirement plan

Time off

Tuition reimbursement

Employee assistance program

Job summary

HealthPartners is seeking a Formulary Administration Consultant Pharmacist to manage Regulated Products formularies and support related policy development and communication. The role focuses on Medicare, state programs, Exchange, and Federal Employees Programs.

The position emphasizes cross-functional collaboration, strengthening formulary policies, and contributing to departmental initiatives within a managed care setting.

Qualifications

• 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.

Responsibilities

• Formulary management of Regulated Products (Medicare, State Public Programs, Exchange, and Federal Employees Programs).
• Assist in development, maintenance, and communication of all formularies and covered products.
• Support Pharmacy Department initiatives, Compliance and Audit activities.

Skills

Familiar with formulary maintenance.

Familiar with drug coverage policies.

Problem solving, planning, organizing

Project management

Verbal and written communication

Time management

Independent work

Relationship building

Education

Minimum of two years of managed care/clinical pharmacy experience or residency

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.


• 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!