Senior Clinical Pharmacist: Formulary & PBM Oversight

CommunityCare, Inc.; Tulsa (OK); Vor Ort; USD 110.000 - 170.000; Vollzeit

Zusammenfassung

CommunityCare, Inc. is seeking a Clinical Pharmacist – Formulary & PBM Oversight to provide clinical SME support for formulary management, PBM oversight, and pharmacy programs across lines of business.

The role includes governance of PBM activities and optimization of formulary strategy, with focus on quality, member experience, and cost management. Responsibilities include audits, oversight of delegated PBM functions, committee coordination, provider education, and collaboration with Pharmacy

Qualifikationen

• PharmD or BS in Pharmacy from an accredited School of Pharmacy.
• Active, unrestricted pharmacist license in Oklahoma, or ability to obtain licensure within 180 days.
• Minimum of five years of clinical pharmacy experience in managed care or related settings.
• Experience with formulary management, utilization management, or PBM programs.
• Experience with Medicare Part D, Commercial, and Marketplace benefits preferred.

Aufgaben

• Perform clinical audits of utilization management determinations across all lines of business.
• Provide clinical oversight of delegated PBM utilization management and formulary activities.
• Oversee P&T Committee activities and implementation.
• Monitor formulary strategy impact, including member disruption and program performance.
• Provide personalized member counseling on formulary changes and access.
• Develop provider outreach and education on formulary changes and cost-effective care.
• Analyze data to track program impact and identify improvement opportunities.
• Collaborate with Finance, Compliance, and other stakeholders on cost-management initiatives.
• Support publication of formulary information and updates on websites and resources.
• Perform other job-related duties as required.

Kenntnisse

Managed care pharmacy

PBM operations

Utilization management

Data analysis

Decision-making

Communication skills

Collaboration

Clinical literature interpretation

MS Office

Ausbildung

PharmD or BS in Pharmacy

Active Oklahoma pharmacist license

5+ years clinical pharmacy experience

Tools

Pharmacy information systems

Jobbeschreibung

CommunityCare, Inc. is seeking a Clinical Pharmacist – Formulary & PBM Oversight to provide clinical SME support for formulary management, PBM oversight, and pharmacy programs across lines of business.

The role includes governance of PBM activities and optimization of formulary strategy, with focus on quality, member experience, and cost management. Responsibilities include audits, oversight of delegated PBM functions, committee coordination, provider education, and collaboration with Pharmacy