Associate Clinical Pharmacist – Pharmacy Analytics

Wellmark•Des Moines, IA

2d•Hybrid

About The Position

The Associate Clinical Pharmacist evaluates pharmacy opportunities focused on quality improvement, affordability, and member outcomes. The role supports development of formularies and evidence-based prior authorization criteria, conducts drug utilization analyses, evaluates digital health solutions and vendor offerings, and develops tools to track outcomes and the value of clinical pharmacy interventions. The pharmacist assesses and communicates clinical and financial value, supports evidence-based decisions, and helps ensure pharmacy initiatives produce measurable results. The position collaborates with Business Analytics, Actuarial, Health Services, pharmacists, pharmacy technicians, physicians, nurses, and other stakeholders. The position operates in a hybrid schedule, with at least three days (Tuesday through Thursday) in Wellmark’s Des Moines office and the option to work remotely on Monday and Friday. A non-compete agreement is required.

Requirements

Bachelor’s degree in Pharmacy or PharmD.
Active, unrestricted pharmacy license in Iowa or South Dakota (the individual must be licensed in their state of residence) within six months of hire.
At least two years of foundational retail pharmacy operations experience; internships may count.
Experience making evidence-based decisions.
Analytical, problem-solving, and critical-thinking skills.
Strong written and verbal communication skills, including the ability to accurately summarize clinical literature.
Interpersonal skills to build rapport, credibility, and collaborative partnerships with clinical peers, leaders, and stakeholders.
Proficiency in Microsoft Office and intermediate Excel skills, including pivot tables, trend analysis, and formulas.
Ability to apply relevant rules, regulations, and guidelines and maintain awareness of their implications for pharmacy.
Organization and prioritization skills, including the ability to manage multiple projects and meet deadlines.
Ability to work independently and as part of a cross-functional team, with a demonstrated ability to collaborate.
Must sign a non-compete agreement.

Nice To Haves

Diverse pharmacy work experience, including non-retail experience.
Prior health plan or pharmacy benefit management experience; internships may count.
Ability to consult with stakeholders.

Responsibilities

Assist in developing and implementing pharmacy programs that promote quality and cost-effective drug use; provide clinical consulting services and implement clinical information and education programs.
Assist with formulary development and conduct drug utilization analyses; support drug utilization review and formulary/non-formulary management.
Research and synthesize detailed clinical information about pharmaceuticals; prepare and present therapeutic class reviews and drug monographs to the Pharmacy and Therapeutics Committee.
Research medications and drug therapies and support the development of evidence-based prior authorization criteria for pharmacy benefits.
Review escalated prior authorization requests, conduct research to determine medical necessity and appropriate coverage, and process non-formulary medication requests for clinical appropriateness.
Coordinate drug therapy interventions with Clinical Pharmacists to improve quality and outcomes and reduce cost of care.
Identify and recommend improvements to the quality, effectiveness, and efficiency of pharmacy services.
Work with pharmacists, pharmacy technicians, and physicians to meet pharmacy program goals; support internal pharmacy management projects and projects with the contracted pharmacy benefit manager.
Serve as a clinical resource to physicians and nurses on prospective, concurrent, and retrospective drug utilization reviews; provide dosage conversions and clinical support for therapeutic interventions; prepare information for network physicians.
Comply with regulatory and accreditation standards and internal guidelines, and remain current with standards relevant to pharmaceuticals.
Perform other duties as assigned.