Senior Clinical Pharmacist: Strategy & Formulary

Medica; St. Louis (MO); On-site; USD 113,000 - 170,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

PTO

401K

Volunteer time off

Caregiver services

Job summary

Medica is seeking a Clinical Pharmacist to join our team onsite in the St. Louis area. This role collaborates with internal and external stakeholders to advance pharmacy strategy, utilization management, regulatory requirements, and performance.

You will analyze spend and trends, develop mitigation strategies, and support PBM formulary execution across a matrixed organization. The position requires a PharmD or equivalent experience with a pharmacist license and at least 7 years of relevant work.

Qualifications

• Bachelor's degree in Pharmacy required; PharmD preferred or equivalent experience in related field.
• 7+ years of related pharmacy experience beyond degree

Responsibilities

• Monitor pharmacy utilization, spend and trend performance; identify key cost drivers, emerging patterns, and areas of opportunity across the pharmacy benefit.
• Partner with Analytics and business stakeholders to conduct pharmacy spend and trend analysis, including forecasting, utilization impact assessment, variance analysis, and development of actionable insights.
• Develop and support evidence-based strategies to mitigate adverse pharmacy trends and improve clinical and financial performance, including targeted clinical program and utilization management opportunities.
• Serve as a clinical pharmacy subject matter expert and advisor to internal partners; translate complex pharmacy information and data into clear recommendations for decision makers.
• Oversee and coordinate pharmacy-related operational, regulatory, and compliance activities, including required reporting, submissions, audits, transparency requests, and documentation.
• Collaborate with pharmacy vendors, PBM partners, provider organizations, and other external stakeholders to support effective pharmacy program operations and performance.
• Partner closely with PBM partners on formulary execution, including implementation and maintenance of formulary changes, operational alignment, issue resolution, and ongoing monitoring to ensure intended formulary strategy is accurately executed.
• Identify and communicate targeted performance improvement opportunities across the organization and support implementation through cross-functional collaboration.
• Respond to member, provider, client, and internal stakeholder questions or issues related to pharmacy services in a professional and timely manner.
• Participate in clinical pharmacy meetings, workgroups, and cross-functional initiatives necessary to advance strategic, operational, and performance objectives.

Skills

Pharmacy operations

Clinical programs

Utilization management

Analytics

Regulatory affairs

Stakeholder communication

Education

Bachelor's degree in Pharmacy

PharmD preferred

Job description

Medica is seeking a Clinical Pharmacist to join our team onsite in the St. Louis area. This role collaborates with internal and external stakeholders to advance pharmacy strategy, utilization management, regulatory requirements, and performance.

You will analyze spend and trends, develop mitigation strategies, and support PBM formulary execution across a matrixed organization. The position requires a PharmD or equivalent experience with a pharmacist license and at least 7 years of relevant work.