Working on the development, creation, maintenance, and management of the client-specific clinical benefits, formularies, and utilization management edits.
Supporting the clinical and benefit teams in all clinical benefit and formulary set-up/coding efforts required to meet client-specific needs and requirements.
Performing tasks associated with clinical benefit and formulary documentation and reporting needs across all lines of business offered by the client.
Ensuring all relevant activities are at highest level of clinical appropriateness, accuracy, clinical consistency, and in full compliance with client requirements and applicable rules and regulations.

Active pharmacist license in good standing with no restrictions in State of Arizona.
Minimum 2 years working experience in prescription drug benefit management within PBM, insurer or health plan setting, preferably in clinical operations and/or formulary management.
Ability and willingness to work in a highly dynamic environment.
Ability to work on multiple projects, prioritize, and resolve complex problems while meeting contractual obligations and deadlines determined by the client and the clinical account team.
Effectively work independently on assigned tasks/projects without need for daily supervision.
Minimum of 2 years of experience in Microsoft Office suite including utilizing Excel, Word, PowerPoint, Access, and Outlook.
Willingness to learn and adopt PBM systems and programs related to clinical benefit and formulary set up and management.
Facilitate cross functional collaboration and work with other clinical and/or operation teams to meet client needs and requirements.
Strong clinical, analytical, and problem-solving skills.
Excellent presentation and oral/written communication skills.

Clinical Pharmacist, Clinical Account Operations

Key skills