Clinical Operations Pharmacist

About the role

The Clinical Operations Pharmacist provides analytic/technical support to optimize the clinical quality and cost-effectiveness of drug and medical therapy, as applicable, for client plan sponsors and their members. Focuses on rational management of drug utilization by employing analytical tools and an evidence-based approach to achieve lower net cost, better health outcomes, and higher levels of satisfaction for plan sponsors, and their members. The role manages operational aspects of clinical operations, strategic initiatives, projects, and/or programs. This position focuses on supporting analytic, technical, and operational aspects of clinical management. The role collaborates across the organization. The role relies on data and performance indicators, as well as experience and judgment, to identify and promote performance improvement opportunities which attain the aligned goals of MedImpact and assigned clients. Essential Duties and Responsibilities include the following. Other duties may be assigned. Manages, contributes and assists in current priority, projects, programs or initiatives as defined by supervisor. Provides clinical subject matter expertise and combines with business operations knowledge to ensure clinical and business appropriateness and success; Assists with related analytic needs to support recommendations being considered by assigned clients that align with both the clients' and MedImpact's mutual goals of lower net costs and high clinical quality. The strategic recommendations may include: benefit design and formulary analysis and suggestions, provision of clinical drug information, client P&T support and participation, recommendations for rational drug formulary positioning, on-line system edits and restrictions, on-going clinical product evaluations, and recommendations regarding client pharmacy benefit utilization and performance trends; Supports clinical consultative services in accordance with contracted clinical services. The role is an integral part of designing, developing, and driving the clinical components of their assigned account team's strategic and financial goals. Ongoing focus will be centered on using a variety of analytical tools and clinical resources to identify opportunities which simultaneously improve the plan sponsor's quality-focused and financial performance metrics; Supports analytics necessary for MedImpact's evidence-based interventions and communication programs to clients. Provides documentation of recommendations for clinically appropriate and financially beneficial clinical initiatives (e.g. lower net cost, generic programs, QA programs, clinical and specialty programs, and applicable rebate management); Coordinates clinical utilization analyses, in collaboration with key stakeholders, to support presentations to clients. Ensures timely and accurate review of plan data, according to policy, with appropriate intervention recommendations; Supports, implements, and maintains DUE, DUR, and QI programs to meet plan, HEDIS, and NCQA guidelines; Coordinates clinical support of Drug Formulary and Preferred Drug Lists during plan sponsor's implementation and maintenance of business in collaboration with the Clinical Program Manager (Client Team); Supports recommended clinically appropriate initiatives to optimize the value of MedImpact's rebate administration program for clients while delivering on the lower net cost goal; Supports MedImpact P&T Committee quarterly meetings and weekly MediSpan drug updates. Supervisory Responsibilities No supervisory responsibilities C

Benefits

Additional Information

Exemption Status: United States of America (Exempt) $108,515 - $152,464 - $196,412 "Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate." This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description

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