Senior Pharmacist - Strategy
Core
Develop and execute the organization's drug formulary and pharmacy utilization management policies to improve member outcomes and achieve savings goals.
Role type
Senior strategy-level pharmacist (managed care)
Builds
Pharmacy formulary, utilization management programs, and strategic initiatives
Domain
Health insurance / Pharmacy benefit management
Required skills
Managed care pharmacy principles, drug formulary development, utilization management strategy, regulatory compliance, data analysis, stakeholder collaboration, mentorship
Preferred skills
Pharmacy strategy experience, health plan or PBM setting experience, board certification in pharmacotherapy or geriatrics
Technologies
Microsoft Office, database applications
Responsibilities
Monitor FDA approvals and drug pipelines to assist in formulary development; develop and implement utilization management programs (prior authorization, step therapy, quantity limits); execute regulatory compliance and represent the organization in audits; partner with analytics and vendors to generate real-world evidence insights; develop educational initiatives for physicians, pharmacies, and members; manage process improvements and provide guidance to junior team members
Seniority
Senior, hands-on IC with strategic oversight