Medicare Part D Pharmacy Lead: Formulary & Cost

Medix; Tampa (FL); On-site; USD 130,000 - 180,000; Full time

Benefits offered by this job

Paid Sick Leave

Health Benefits

401k

Short Term Disability

Term Life Insurance

Job summary

Medix seeks a highly skilled Pharmacist to lead its Medicare Part D program in Tampa. The role includes overseeing formulary management, CMS regulatory compliance, PBM vendor performance, drug utilization, and pharmacy operations.

The Pharmacist will drive clinical cost-saving initiatives, manage the annual formulary and bid process with external consultants, supervise staff, and use data analytics to enhance medication outcomes and program efficiency.

Qualifications

• Direct Medicare Part D managed care experience.
• PBM background preferred.
• Proven experience improving Part D STAR ratings/measures is preferred.
• Formulary bid experience is preferred.

Responsibilities

• Lead the Medicare Part D pharmacy program.
• Oversee formulary management, CMS regulatory compliance, PBM vendor performance, drug utilization, and pharmacy operations.
• Direct clinical cost-saving initiatives to optimize pharmacy spend and improve financial performance.
• Manage the annual formulary and bid process in collaboration with external consultants.
• Supervise pharmacy operational staff.
• Leverage data analytics to improve medication outcomes, enhance program performance, and drive cost efficiency.

Skills

Medicare Part D

PBM background

STAR ratings improvement

Formulary bid experience

Education

PharmD or equivalent

Job description

Medix seeks a highly skilled Pharmacist to lead its Medicare Part D program in Tampa. The role includes overseeing formulary management, CMS regulatory compliance, PBM vendor performance, drug utilization, and pharmacy operations.

The Pharmacist will drive clinical cost-saving initiatives, manage the annual formulary and bid process with external consultants, supervise staff, and use data analytics to enhance medication outcomes and program efficiency.