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Manager - Pharmacy Clinical Programs buy in US, Free Classifieds Ads

As a Manager- Pharmacy Clinical Programs for our Pharmacy team, you will use your strong clinical and managed care background, and insight to drive our clinical programs forward and take it to the next level. You will help to optimize medication utilization covered under the pharmacy and medical benefits, and strengthen the value of integration by managing at the condition level. You will have direct management of people and you work across the company with multiple stakeholders. With your leadership, we will continue to develop, implement, and communicate pharmacy strategy and programs to ensure the clinically appropriate and cost-effective use of medication aligns with and supports Premera's clinical and financial goals. What you'll do o Develop and execute short term and long term pharmacy clinical strategy, and provide subject matter expertise on the strategic direction of Premera's Pharmacy Programs for both commercial and government (i.e. Individual Marketplace, Medicare Part D) lines of business; make recommendations and execute on corporate-wide Pharmacy initiatives, such as: o Drug Utilization Management across Medical and Pharmacy benefit o Formulary Program and Formulary Promotions, including oversight of Pharmacy and Therapeutics (P&T) Committee o specialty Pharmacy Program o Other clinical programs focused on management of chronic conditions, optimizing drug management or adherence o Create, implement, and manage clinical drug utilization programs and capabilities o Develop, manage performance, train and hire team of direct reports o Manage and lead development of clinical pharmacy strategy and programs that may include: o Integrated Medical Policies for drugs across Medical and Pharmacy benefit o Provider Consulting o Pipeline Management o Pharmacy Residency program o Rebate solutions across Medical and Pharmacy benefit o Quality measure improvement efforts, including programs to support NCQA HEDIS, Medicare Star Rating and Quality Rating System performance improvement efforts o Provide clinical pharmacy expertise and guidance to internal and external stakeholders including Provider and Customer Engagement team, Sales, Marketing and Quality o Produce and analyze pharmacy cost trends, clinical and managed care presentations and Pharmacy communication materials for designated market geographies o Support Pharmacy benefit design development in collaboration with Product Services, Actuary, and the Pharmacy Benefit Manager partner What you'll bring o Pharmacist with an active Washington State Pharmacist License o Master's Degree o Board Certification by the Board of Pharmacy Specialists (BCPS) o Six years of experience in clinical program development/management in a managed care setting o Completion of American Society of Health-System Pharmacists ASHP-accredited residency program o Managed Care pharmacy experience is highly desirable o Medicare, and Health Benefit Exchanges is preferred o Experience with project management, managing teams, Medicare, and Health Benefit Exchanges is also preferred o Demonstrated ability to lead and manage multiple, complex, concurrent projects o Strong presentation skills. o Proven ability to build and maintain relationships with both internally and externally o Strong analytical skills o Intermediate MS Office (Excel, PowerPoint) o Familiarity with local and regional health care issues What we offer Premera is proud to offer a comprehensive benefits package including: o Medical, vision and dental coverage o Life and disability insurance o Retirement programs (401K employer match and pension plan) o Wellness incentives, onsite services, a discount program and more o Tuition assistance for undergraduate and graduate degrees o Generous Paid Time Off to reenergize o Free parking Job ID 11839
Salary Range: NA
Minimum Qualification
5 - 7 years
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