Remote Clinical Pharmacist Specialist - Formulary & Cost Optimization

Presbyterian Healthcare Services; Santa Fe (NM); Remote; USD 100,000 - 176,000; Full time

Job summary

Presbyterian Healthcare Services is seeking a Managed Care Clinical Pharmacist to oversee the pharmacy benefit, including prior authorization, formulary management, regulatory compliance, and provider relationships. You will develop prescriber profiles, use predictive tools, and present data to physicians to optimize drug therapy and cost effectiveness.

The role emphasizes education, patient safety, and collaboration with PHP providers to improve outcomes and reduce costs.

Qualifications

• PharmD. or Registered Pharmacist with extensive clinical experience.
• New Mexico Board of Pharmacy License required.
• Residency or equivalent experience with 3–5 years in a clinical setting; residency and board certification preferred.

Responsibilities

• Formulary development and maintenance; P&T committee reviews and implementation decisions.
• Review discharge medications for interactions and duplications; provide recommendations.
• Clinical pharmacist-run medication management clinics; discuss polypharmacy and drug benefits with patients.
• Review PHP patient profiles for interactions and PDL compliance; consult with providers for cost-effective use.
• Provide provider education and cost-effective prescribing recommendations; share drug utilization insights with groups.
• Develop disease-management pathways and evaluate per-member-per-month pharmacy costs.
• Support regulatory compliance across pharmacy functions; collaborate with other departments.

Education

PharmD. or RPh with extensive clinical experience

New Mexico Board of Pharmacy License

Residency or Board Certification (3–5 years clinical experience)

Job description

Presbyterian Healthcare Services is seeking a Managed Care Clinical Pharmacist to oversee the pharmacy benefit, including prior authorization, formulary management, regulatory compliance, and provider relationships. You will develop prescriber profiles, use predictive tools, and present data to physicians to optimize drug therapy and cost effectiveness.

The role emphasizes education, patient safety, and collaboration with PHP providers to improve outcomes and reduce costs.