Senior Clinical Pharmacist — Formulary & P&T Strategy

Medica; Madison (WI); On-site; USD 113,000 - 194,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

PTO

401K

Job summary

Medica, a nonprofit health plan serving communities across Wisconsin, seeks a Clinical Pharmacist to drive formulary strategy, utilization management, and clinical programs. The role partners with internal teams and external stakeholders to optimize care and manage costs in a large health plan setting.

This onsite office role requires 5+ years in clinical pharmacy, a PharmD or equivalent, and an active license.

Qualifications

• 5+ years progressive clinical pharmacy experience in managed care, health plan, PBM, or payer-aligned environments.
• Active Pharmacist License

Responsibilities

• Monitor and assess the pharmaceutical drug pipeline, forecast utilization and financial impacts.
• Develop drug monographs and formulary/UM recommendations to drive P&T decisions.
• Analyze pharmacy trends with analytics support to improve formulary outcomes.
• Promote formulary initiatives such as biosimilar optimization and market differentiation.
• Participate in clinical pharmacy meetings, workgroups, and cross-functional initiatives.
• Oversee formulary management, clinical programs, operations, regulatory and compliance needs.
• Serve as clinical pharmacy subject matter expert.

Skills

Clinical pharmacy leadership

Managed care knowledge

Data analysis ability

Education

PharmD or equivalent

Bachelor's degree

Job description

Medica, a nonprofit health plan serving communities across Wisconsin, seeks a Clinical Pharmacist to drive formulary strategy, utilization management, and clinical programs. The role partners with internal teams and external stakeholders to optimize care and manage costs in a large health plan setting.

This onsite office role requires 5+ years in clinical pharmacy, a PharmD or equivalent, and an active license.