Overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs
Clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly
Partnering in a matrix relationship with colleagues at all levels and teams
Requirements
Licensed pharmacist in good standing in state of residence
5+ years pharmacist experience within PBM environment
3+ years demonstrated people leadership experience within PBM environment
Demonstrated in-depth understanding of and experience with utilization management and formulary, including prior authorization, step therapy, quantity limits, and Traditional drug UM processes is required
Demonstrated understanding of State and Federal governing rules and regulations.
In-depth understanding of Traditional drugs specific to utilization management and formulary.
Skill In: Managing teams within a matrixed environment
Partnering across multiple stakeholders and varied levels
Excellent written and oral communication with proven ability to distill complex concepts to leaders, colleagues and peers
Office technology and software, including Rx Claim and Medispan