DIRECTOR, SPECIALTY CLINICAL SOLUTIONS -RPH/PHARMD REQUIRED- REMOTE
Company: Prime Therapeutics
Location: Salt Lake City
Posted on: October 3, 2024
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Job Description:
Our work matters. We help people get the medicine they need to
feel better and live well. We do not lose sight of that. It fuels
our passion and drives every decision we make.Job Posting
TitleDirector, Specialty Clinical Solutions -RPH/PharmD required-
REMOTEJob Description SummaryResponsible for support and
development of Medical Pharmacy program strategy as part of the
Medical Pharmacy Specialty Clinical Solutions team. Responsible for
managing current Medical Pharmacy clients and potential new
clients. Required to serve as a Medical Pharmacy clinical resource
throughout the organization and support all clinical pharmacy
programs involving Medical Specialty medications and additional
clinical programs as needed. Expected to assume leadership of
projects as assigned by VP, Medical Pharmacy Strategy.Job
DescriptionJob Profile SummaryResponsible for support and
development of Medical Pharmacy program strategy as part of the
Medical Pharmacy Specialty Clinical Solutions team. Responsible for
managing current Medical Pharmacy clients and potential new
clients. Required to serve as a Medical Pharmacy clinical resource
throughout the organization and support all clinical pharmacy
programs involving Medical Specialty medications and additional
clinical programs as needed. Expected to assume leadership of
projects as assigned by VP, Medical Pharmacy Strategy.Job
DescriptionSupports overall Medical Pharmacy Product line for
health plans through validated program enhancements, creation of
usable, client collateral materials with marketing, and onsite
client presentationsLeads evaluation and identification
opportunities for improved management of Medical benefit drugs
through clinical research and analytics that improve medical cost
savings and provide clinical quality initiativesManages current
clients in all Medical Pharmacy programs such as Fee Schedule
Management, Prior Authorization, Post Service Claim Edits, Site of
Service and any additional programs.Develops new opportunities and
expands programs for existing clients.Works with analytics team to
provide business rules and develop new drug to market cost impact
analyses for health plan clientsManages Medical Pharmacy
development needs for potential new clients.Identifies and develops
opportunities for improved process efficiencies for Medical
Pharmacy programs.Identifies enhanced reporting methodologies for
Medical Pharmacy Programs.Supports development and production of
Medical Pharmacy Trend Report, owning specific sections as
delegatedSupports development, production and monitoring of
Specialty Pharmacy Pipeline Report.Communicates and collaborates
effectively with all internal stakeholdersProvides Medical Pharmacy
expertise within the organization to other business units and
within Prime TherapeuticsDevelops potential opportunities and all
research and materials for presentations at National
pharmacy/healthcare industry meetings, white papers and published
papers.Develops appropriate submissions for program presentations
at National meetings and for publication
acceptance.Responsibilities7+ years of pharmacy, managed care and
pharmaceutical industry experience.At least 1-2 years' Health Plan
Pharmacy experience with knowledge of Medical Pharmacy benefit
management strategies.Strong interpersonal, consultation,
organizational, tracking and follow-up skills.Pharmacy, Managed
Care, Pharmaceutical Industry experience.Ability to research,
obtain, coordinate, and integrate feedback and directions from
diverse operational groups and organizations into a written
product.Excellent verbal and written communication skills.Knowledge
of legislative/oversight bodies (e.g., URAC-Utilization Review
Accreditation Commission, CMS-Centers for Medicare & Medicaid
Services, NCQA-National Committee for Quality Assurance, and
ERISA-Employee Retirement Income Security Act of 1974).Requires an
in depth understanding of the pharmacy industry including drugs
paid for on the medical benefit and pharmacy benefit.Generates high
confidence in project output and production.Independent worker
requiring little oversight, self motivated.Strong communication and
presentation skills.Experience and thorough understanding of
Microsoft Office products, and other relevant software systems and
applications.Data review and interpretation skills required.Must
possess RPh or PharmD license in good standing.Health Plan
experience managing drugs on both Pharmacy and Medical benefit.Work
ExperienceWork Experience - Required:Managed Healthcare,
PharmacyWork Experience - Preferred:EducationEducation -
Required:Bachelors - PharmacyEducation - Preferred:PharmD -
PharmacyCertificationsCertifications - Required:RPH - Registered
Pharmacist - Pharmacy - PharmacyCertifications - Preferred:PharmD -
Doctor Of Pharmacy, State Licensure - Pharmacy - PharmacyPotential
pay for this position ranges from $132,440.00 - $238,360.00 based
on experience and skills. Pay range may vary by 8% depending on
applicant location.To review our Benefits, Incentives and
Additional Compensation, visit our Benefits Page
(https://www.primetherapeutics.com/careers/benefits/) and click on
the Benefits at a glance button for more detail.Prime Therapeutics
LLC is proud to be an equal opportunity and affirmative action
employer. We encourage diverse candidates to apply, and all
qualified applicants will receive consideration for employment
without regard to race, creed, color, religion, gender, sexual
orientation, gender identity/expression, national origin,
disability, age, genetic information, veteran status, marital
status, pregnancy or related condition (including breastfeeding),
expecting or parents-to-be, or any other basis protected by law.We
welcome people of different backgrounds, experiences, abilities,
and perspectives including qualified applicants with arrest and
conviction records and any qualified applicants requiring
reasonable accommodations in accordance with the law.Prime
Therapeutics LLC is a Tobacco-Free Workplace employer.Positions
will be posted for a minimum of five consecutive workdays.Prime
Therapeutics' fast-paced and dynamic work environment is ideal for
proactively addressing the constant changes in today's health care
industry. Our employees are involved, empowered, and rewarded for
their achievements. We value new ideas and work collaboratively to
provide the highest quality of care and service to our members.If
you are looking to advance your career within a growing,
team-oriented, award-winning company, apply to Prime Therapeutics
today and start making a difference in people's lives.Prime
Therapeutics LLC is proud to be an equal opportunity and
affirmative action employer. We encourage diverse candidates to
apply, and all qualified applicants will receive consideration for
employment without regard to race, creed, color, religion, gender,
sexual orientation, gender identity/expression, national origin,
disability, age, genetic information, veteran status, marital
status, pregnancy or related condition (including breastfeeding),
expecting or parents-to-be, or any other basis protected by law.We
welcome people of different backgrounds, experiences, abilities,
and perspectives including qualified applicants with arrest and
conviction records and any qualified applicants requiring
reasonable accommodations in accordance with the law.Prime
Therapeutics LLC is a Tobacco-Free Workplace employer.If you are an
applicant with a disability and need a reasonable accommodation for
any part of the employment process, please contact Human Resources
at 1.866.469.1257 or email Careers@primetherapeutics.com.
Keywords: Prime Therapeutics, Taylorsville , DIRECTOR, SPECIALTY CLINICAL SOLUTIONS -RPH/PHARMD REQUIRED- REMOTE, Executive , Salt Lake City, Utah
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