Provider Liaison Pharmacist Clinical Formulary & Compliance

Prime Therapeutics; Santa Fe (NM); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics seeks a Clinical Pharmacist responsible for delivering clinical and regulatory analyses that support operations and implementation of clinical programs, including formulary management and publications.

You will collaborate with internal stakeholders, perform testing, and ensure regulatory compliance across federal, CMS, state, and local requirements while supporting data for drug utilization and claims adjudication systems.

Qualifications

• Pharmacist degree (PharmD or BS in Pharmacy).
• 1 year of work experience in clinical, retail, hospital, or managed care.
• Current Pharmacist license to practice in applicable state(s).
• Knowledge of AS400, queries, and Lotus Notes.
• Proficiency with Microsoft Excel and Word.

Responsibilities

• Partner with stakeholders to develop and maintain testing scenarios for benefit plans.
• Interpret requests to determine feasibility and document requirements.
• Conduct testing including test plan creation and UAT for QA.
• Identify and resolve system issues to avoid service disruption.
• Ensure benefit plans comply with federal, CMS, state, and local regulations.
• Support drug utilization data and claims adjudication systems for coverage decisions.
• Support formulary changes and provide SME to committees.

Skills

Strong analytical

Team collaboration

Attention to detail

Microsoft Excel

Education

PharmD or BS Pharmacy

Tools

AS400

Lotus Notes

MediSpan

First Databank

Formulary database/tool

Job description

Prime Therapeutics seeks a Clinical Pharmacist responsible for delivering clinical and regulatory analyses that support operations and implementation of clinical programs, including formulary management and publications.

You will collaborate with internal stakeholders, perform testing, and ensure regulatory compliance across federal, CMS, state, and local requirements while supporting data for drug utilization and claims adjudication systems.