Lead Pharmacist: Clinical Interventions & Cost-Effectiveness

Jobtailor; Earth City (MO); On-site; USD 90,000 - 120,000; Full time

Job summary

Jobtailor is seeking a Pharmacist with PharmD to lead clinical interventions and pharmacy benefit management initiatives. The role requires licensure and experience in managed care, data analysis, and policy development.

You will collaborate with physicians, plan sponsors, and care teams to optimize cost-effective medication strategies. The position emphasizes data-driven decision making, program development, and coaching teammates while ensuring compliance with clinical criteria and industry

Qualifications

• PharmD required and active licensure in residence state or reciprocity within 4 months
• Board Certification in Pharmacy or related clinical area preferred
• Experience in Pharmacy Benefit Management or clinical program development is required

Responsibilities

• Review and interpret client data to identify, develop, and manage high-cost clinical interventions and casework
• Evaluate clinical research and financial data to develop strategic medication management options and coverage recommendations
• Manage retrospective case requests in compliance with established clinical criteria
• Assist in developing clinical policies and pharmacy benefit management programs
• Contribute to clinical program development for medical and pharmacy benefits
• Complete claims editing and audits to ensure accuracy and compliance
• Develop and deliver data-driven clinical messages to physicians, members, and other clinicians
• Serve as a peer-to-peer consultant presenting complex clinical and cost-effectiveness information
• Define, document, and present clinical intervention and program results to plan sponsors
• Monitor the case queue and ensure teammates work cases proactively and productively
• Complete training, coach, and develop teammates
• Identify areas of improvement and implement solutions
• Support compliance and diversity, equity, and inclusion objectives
• Perform other duties as assigned

Skills

Clinical Intervention

Data Analysis

Team Development

Communication

Education

PharmD (Doctor of Pharmacy)

Tools

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

Job description

Jobtailor is seeking a Pharmacist with PharmD to lead clinical interventions and pharmacy benefit management initiatives. The role requires licensure and experience in managed care, data analysis, and policy development.

You will collaborate with physicians, plan sponsors, and care teams to optimize cost-effective medication strategies. The position emphasizes data-driven decision making, program development, and coaching teammates while ensuring compliance with clinical criteria and industry