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Position Summary
This position will function as a point of contact for Pharmacy Services with the Pharmacy Benefit Manager (PBM) and other vendors to coordinate aspects of the Trust custom formularies for the commercial and Employer Group Waiver Plans. Additional responsibilities include coordinating specialty drug reviews with the medical carriers, analyzing pharmacy and medical claims data, evaluating industry utilization management trends, and recommending opportunities to improve performance of the prescription drug benefit.
Essential Functions
-Weekly formulary clinical call with the Pharmacy Benefit Manager (PBM),
- Emerging Therapies Meetings (medication and program review) with the medical carrier
-New to market prescription drug reviews with leadership
monthly and annual submissions to the Centers for Medicare & Medicaid (CMS) are met
benefit opportunities for executive team review
new initiatives
This list details the Trust’s assignment of essential functions to this position. Other duties or tasks may be assigned to this position. This job description is subject to change at any time.
Technical Competencies
The ideal candidate will possess a unique combination of healthcare administration, pharmacy
formulary administration and business acumen.
Personal Effectiveness Competencies
All employees of the Trust are expected to demonstrate relevant personal effectiveness competencies as specified in the Trust’s competency definitions.
Minimum Required Experience
adherence)
partners to meet mutual goals.
meet mutual goals.
Education, Professional Certifications and Licensure
Bachelor’s degree in healthcare or related field
Working Conditions and Physical Effort
Full Time
$51k-66k (estimate)
06/12/2024
06/28/2024