Pharmacist - Pharmacy Benefits Administrator

International Executive Service Corps; Lawton (OK); On-site; USD 80,000 - 100,000; Full time

Job summary

A healthcare service organization is seeking a Pharmacy Benefit Administrator to manage the pharmacy benefit program for a self-insured health plan. The role requires a licensed pharmacist to enhance medication therapy outcomes while ensuring compliance and cost control. Ideal candidates will possess strong knowledge of pharmacy benefits management and hold an Oklahoma Pharmacy License. This position is pivotal in addressing the medication needs of various patient demographics at Comanche County Hospital Authority.

Qualifications

• Licensed pharmacist to optimize medication therapy outcomes.
• Must maintain licensure and meet continuing education requirements.
• Familiar with ERISA and HIPAA requirements.

Responsibilities

• Manage and oversee all pharmacy benefit program aspects.
• Ensure regulatory compliance and provide clinical oversight.
• Control costs while improving patient care.

Skills

Knowledgeable in retail pharmacy functions

Strong drug product knowledge

Analytical skills for pharmacy claims data

Knowledge of pharmacy reimbursement methodologies

Education

Graduate of an accredited College of Pharmacy

Current Oklahoma Pharmacy License

Completed residency program

Job description

DEFINITION

Under the supervision of the Pharmacy Director, all Pharmacy functions to be completed using the outlined policies, procedures and standards developed for providing the maximum level of services to assure that care is provided to all patients including adult, adolescent, pediatric and neonatal patients.

POSITION SUMMARY

The Pharmacy Benefit Administrator is responsible for managing and overseeing all aspects of the pharmacy benefit program for Comanche County Hospital Authority's self-insured health plan. This position requires a licensed pharmacist who will optimize medication therapy outcomes while controlling costs, ensuring regulatory compliance, and providing clinical oversight of pharmaceutical services for plan members.

EDUCATION

1. Must be a graduate of a College of Pharmacy accredited by the American Council of Pharmaceutical Education.

REGULATORY REQUIREMENTS (IF APPLICABLE)

1. Current Oklahoma Pharmacy License as a Registered Pharmacist.
2. Must maintain licensure and meet continuing education requirements.

PREFERRED QUALIFICATIONS

1. Knowledgeable in the specialized functions of retail pharmacies.
2. Strong drug product and clinical pharmacy knowledge.
3. Comprehensive knowledge of pharmacology, therapeutics, and medication management.
4. Understanding of pharmacy benefit design and management principles.
5. Strong analytical skills with ability to interpret pharmacy claims data.
6. Knowledge of pharmacy reimbursement methodologies (AWP, MAC, WAC, etc.).
7. Familiarity with ERISA, HIPAA, and healthcare regulatory requirements.
8. Prior retail experience.
9. Current Oklahoma Pharmacy Preceptor License.
10. Completed a residency program accredited by the American Society of Health-System Pharmacists (ASHP).
11. Board certification (BCPS, BCACP, or related specialty).
12. Prior authorization or utilization management experience.
13. Experience with formulary development and management.
14. MBA or health administration degree.