Managed Care Resident - Remote - Express Scripts (Health Plans)
Core
12-month post-PharmD residency focusing on clinical strategy, formulary management, and health plan account management to improve member outcomes and optimize pharmacy spend.
Role type
Managed Care Pharmacy Resident (IC)
Builds
Clinical strategies, formulary initiatives, and value-based contracting solutions for health plan clients.
Domain
Healthcare / Managed Care / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
formulary strategy, utilization management, specialty drug management, clinical program evaluation, regulatory analysis, data analysis, client consulting, strategic planning
Preferred skills
experience with Commercial, Medicare, Medicaid, and Marketplace lines of business
Technologies
Microsoft Excel, Microsoft PowerPoint
Responsibilities
Collaborate with health plan clients to develop and execute clinical strategies; Analyze pharmacy and medical trends to recommend solutions; Support formulary and utilization management initiatives; Evaluate and implement clinical programs; Contribute to quality improvement and regulatory strategies; Participate in client presentations and strategic planning.
Seniority
Junior, training-focused resident