Regulatory Clinical Pharmacist - Onsite (3 days/wk)

Medica; Minnetonka, Omaha, St. Louis (MN, NE, MO); On-site; USD 113,000 - 194,000; Full time

Benefits offered by this job

Medical benefits

PTO and Holidays

401K contributions

Job summary

Medica, a nonprofit health plan, is seeking a Clinical Pharmacist – Regulatory to oversee state and federal regulatory compliance for pharmacy services. This onsite role collaborates with regulators and internal teams, reviewing audits and developing policies.

The position requires PharmD or B.S. in Pharmacy with 5+ years in health plan pharmacy leadership, and a willingness to work onsite in Minnetonka, MN three days per week. Excellent governance and communication skills are essential.

Qualifications

• Bachelor of Science in Pharmacy or PharmD is required.
• 5+ years in health plan pharmacy, PBM clinical management, or related leadership.

Responsibilities

• Oversee regulatory oversight and ensure compliance with state/federal requirements.
• Lead delegated clinical activities for PBM and medical drug vendor oversight.
• Perform internal clinical reviews including initial and appeals for Medicare/Medicaid/Commercial lines.

Skills

Regulatory leadership

Health plan pharmacy

Clinical governance

Education

BS in Pharmacy or PharmD

Job description

Medica, a nonprofit health plan, is seeking a Clinical Pharmacist – Regulatory to oversee state and federal regulatory compliance for pharmacy services. This onsite role collaborates with regulators and internal teams, reviewing audits and developing policies.

The position requires PharmD or B.S. in Pharmacy with 5+ years in health plan pharmacy leadership, and a willingness to work onsite in Minnetonka, MN three days per week. Excellent governance and communication skills are essential.