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 management initiatives, and value-based contracting solutions for health plan clients.
Domain
Healthcare / Managed Care / Pharmacy
Required skills
Clinical decision-making, formulary strategy, utilization management, trend analysis, client consultation, regulatory monitoring, quality improvement initiatives, strategic planning, cross-functional collaboration, Microsoft Excel, Microsoft PowerPoint
Preferred skills
Experience in Commercial, Medicare, Medicaid, or Marketplace lines of business
Responsibilities
Collaborate with health plan clients to develop and execute clinical strategies; Analyze pharmacy and medical trends to recommend solutions; Support formulary and specialty drug management initiatives; Evaluate and implement clinical programs; Contribute to quality improvement and regulatory market strategies; Participate in client presentations and strategic planning; Monitor legislative and regulatory developments.
Seniority
Junior, Training Program