Provider Liaison Pharmacist - Formulary & Compliance

Prime Therapeutics; Hartford (CT); On-site; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics seeks a Provider Liaison Pharmacist to deliver clinical and regulatory analysis supporting operations and formulary management. You will contribute to publications, regulatory compliance, and the execution of pharmacy initiatives.

You will develop test scenarios, document requirements, and ensure QA through testing and root-cause analysis while working with clients and internal teams to implement formulary changes and maintain benefit plan accuracy.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree.
• 1 year of work experience in clinical, retail, hospital, or managed care.
• Current Pharmacist license to practice in the applicable state(s).
• Must be eligible to work in the United States without visa sponsorship.

Responsibilities

• Partner with stakeholders and clients to develop testing scenarios and benefit plan testing.
• Interpret requests, document requirements, and provide technical solutions.
• Conduct testing with test plans, execution, and user acceptance testing.
• Identify and resolve system issues and perform root-cause analysis.
• Ensure compliance with federal, CMS, state, local, and pharmacy regulations.
• Develop and verify data for drug utilization and claims adjudication systems.
• Support formulary changes and provide SME to committees.
• Collaborate with leaders on client-requested formulary changes.
• Perform other duties as assigned.

Skills

AS400

Queries

Lotus Notes

Analytical skills

Attention to detail

Project management

Education

PharmD or BS Pharmacy

Tools

Microsoft Excel

Word

Job description

Prime Therapeutics seeks a Provider Liaison Pharmacist to deliver clinical and regulatory analysis supporting operations and formulary management. You will contribute to publications, regulatory compliance, and the execution of pharmacy initiatives.

You will develop test scenarios, document requirements, and ensure QA through testing and root-cause analysis while working with clients and internal teams to implement formulary changes and maintain benefit plan accuracy.