Pharmacist - Pharmacy Benefit Management

Oregon Health & Science University; United States; On-site; USD 99,000 - 129,000; Full time

Job summary

Oregon Health & Science University is seeking a Pharmacist for the Pharmacy Benefit Management role. The position involves formulary management, clinical program implementation, and collaboration with healthcare professionals. Candidates should hold a relevant pharmacy degree and have managed care experience. This full-time role offers competitive compensation and the opportunity to impact healthcare delivery positively.

Qualifications

• Current Pharmacist’s license issued by the Oregon State Board of Pharmacy.
• 2 years or more in managed care, health plan or pharmacy benefit management setting.

Responsibilities

• Provide clinical support to Pharmacy Benefit Management Services.
• Perform formulary management and respond to clinical inquiries.
• Oversee prior authorization requests with PBM Pharmacy Technicians.

Skills

Drug therapy knowledge

Interpersonal communication

Excellent organizational skills

Problem solving

Education

B.S. Pharmacy or Pharm.D.

Pharmacy practice residency or 3 years equivalent work experience

Job description

Join to apply for the Pharmacist - Pharmacy Benefit Management role at Oregon Health & Science University

Join to apply for the Pharmacist - Pharmacy Benefit Management role at Oregon Health & Science University

Department Overview

The PBM Pharmacist provides clinical support to OHSU Pharmacy Benefit Management Services. Support

Department Overview

The PBM Pharmacist provides clinical support to OHSU Pharmacy Benefit Management Services. Support

includes but is not limited to formulary management, coverage determinations, Pharmacy and Therapeutics

Committee support, responding to clinical inquiries, and implementing clinical programs.

Function/Duties of Position

• Formulary management including but not limited to activities such as adjudication, formulary decision making, and benefit determination.
• Respond to and resolve clinical inquiries from members, clients, providers, or pharmacies related to formulary options, therapeutic alternatives, and coverage determinations.
• Oversee completion of prior authorization requests for members through collaboration with PBM Pharmacy Technicians.
• Coordinate with pharmacy claims processor to ensure formularies, clinical edits, and plan designs are implemented according to requirements.
• Assist with developing and presenting drug monographs, executive summaries, therapeutic class reviews, and medication policies to Pharmacy & Therapeutics Committees.
• Utilize claims data to evaluate benefit design for inappropriate utilization and opportunities to improve outcomes and optimize drug spend.
  
  

Required Qualifications

• A current Pharmacist’s license issued by the Oregon State Board of Pharmacy.
• B.S. Pharmacy or Pharm.D.
• Pharmacy practice residency or three years equivalent work experience
• 2 years or more in managed care, health plan or pharmacy benefit management setting
  
  

Job Related Knowledge, Skills And Abilities (Competencies)

• Drug therapy knowledge (Dosage, indications, side effects, etc.)
• Contemporary medication use systems
• Drug information through written and verbal consults as well as monographs
• Interpersonal communication
• Excellent organizational skills
• Supervisory concepts (for indirect reports)
• Problem solving
  
  

Preferred Qualifications

• PBM operational experience
• Specialty pharmacy practice
• Pharmacy benefit design
• Pharmacy & Therapeutics Committee participation
• Medication policy development
• Pipeline development
• Project management skills
  
  

Additional Details

The PBM pharmacist will experience competing demands and frequent interruptions from PBM Technicians, clients, members, and other health care professionals.

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or [e-mail].

LinkedIn Job Code

LI-DM2

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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