Clinical Accountt Consultant Pharmacy Medicare Formulary Strategy

Health Care Service Corporation • Nashville, TN

1d • $102,000 - $184,300 • Hybrid

About The Position

The Clinical Acct Consult Pharmacy - Medicare Formulary Strategy role is responsible for multiple aspects of the development and execution of Medicare Part D formulary strategy in accordance with CMS 42 C.F.R. §423.100, 120 Prescription Drug Benefit Manual Chapter 6- “Part D Drugs and Formulary Requirements” to ensure the health plan’s formularies meet regulatory requirements and HCSC goals.

Requirements

• Registered Pharmacist
• 4 years of managed care pharmacy experience or 4 years of consulting experience in the pharmacy benefits industry (completion of managed care residency can substitute for 4 years of managed care pharmacy experience requirements)
• Knowledge of pharmacy benefits products, services and concepts
• Analytical skills including developing reports and synthesizing data to tell a story and develop recommendations
• Written and verbal communications skills including developing presentations and presenting to external business leaders or large audiences
• Collaboration skills to work across organization on problem resolution, negotiation, consensus building, conflict management, and decision-making skills
• Relationship building skills to build strong customer relationships
• Project management skills and experience
• Experience with Microsoft Office applications (Word, Excel, PowerPoint) and clinical/business databases

Nice To Haves

• Pharm.D. preferred
• Managed care pharmacy residency
• 2 or more years of Medicare Part D experience
• Knowledge of Medicare Part D regulatory requirements
• Knowledge of computer applications, including pharmacy claims systems
• Proficiency in Microsoft platform functionality (e.g., Word, PowerPoint, Excel)
• Understanding of formulary development and/or maintenance
• Formulary development and strategy experience
• Technical writing or policy development experience

Responsibilities

• Development and execution of Medicare Part D formulary strategy
• Ensuring formularies meet regulatory requirements and HCSC goals

Benefits

• Health and wellness benefits
• 401(k) savings plan
• Pension plan
• Paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed