Senior Clinical Pharmacist – Formulary & P&T Strategy

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

Benefits offered by this job

Competitive benefits

Onsite work 3 days per week

Job summary

Medica, a nonprofit health plan serving Missouri and beyond, seeks a Clinical Pharmacist to drive formulary strategy, utilization management, and P&T initiatives. You will partner with internal and external stakeholders to optimize drug therapies, monitor trends, and support cost-effective care for members.

The role requires 5+ years in clinical pharmacy within managed care or PBM environments, a PharmD or equivalent, and an active license.

Qualifications

• 5+ years of progressive clinical pharmacy experience in managed care or payer environments.
• Bachelor's Degree, PharmD, or equivalent experience in a related field

Responsibilities

• Monitor pharmaceutical drug pipeline; forecast utilization and financial impact.
• Evaluate literature to develop drug monographs and UM recommendations for P&T decisions.
• Analyze trends with analytics support to improve formulary and UM outcomes.
• Promote formulary initiatives such as biosimilar optimization.
• Participate in internal/external clinical pharmacy meetings and cross-functional initiatives.
• Oversee formulary management and regulatory compliance.
• Serve as clinical pharmacy subject matter expert and advisor.

Skills

Clinical pharmacy

Stakeholder collaboration

Data analysis

Regulatory compliance

Communication

Education

PharmD or equivalent

Tools

Pharmacy data systems

Reporting tools

PBM systems

Job description

Medica, a nonprofit health plan serving Missouri and beyond, seeks a Clinical Pharmacist to drive formulary strategy, utilization management, and P&T initiatives. You will partner with internal and external stakeholders to optimize drug therapies, monitor trends, and support cost-effective care for members.

The role requires 5+ years in clinical pharmacy within managed care or PBM environments, a PharmD or equivalent, and an active license.