Clinical Pharmacist

Sagility
•Remote

About The Position

The US-based Clinical Pharmacist serves as a client-facing and internal clinical resource on data-driven, evidence-based pharmacy strategies that support sustainable drug cost management for large and midmarket national accounts. The role provides account-specific pharmacy utilization reviews and oversight, responds to clinical inquiries, develops recommendations, interprets drug utilization trends, advises on clinical program optimization, and translates pharmacy data into actionable insights. The pharmacist supports external client engagements through a consultative, collaborative approach and represents Sagility as a trusted clinical advisor to client relationship managers, employer accounts, and internal sales teams. This is a part-time position of approximately 20 hours per week.

Requirements

  • Doctor of Pharmacy (PharmD), or a master’s degree in pharmacy for a Registered Pharmacist (RPh).
  • Licensed pharmacist or active Registered Pharmacist in any state.
  • 8–10 years of clinical pharmacy experience, preferably in a managed care environment such as a PBM or health plan, and in clinical consulting or sales.
  • Good knowledge of emerging pharmaceutical markets, including high-cost drug management.
  • Deep healthcare industry experience and thorough understanding of prescription benefit management programs and practices.
  • Experience working with multiple prior authorization workflow systems.
  • Account management or sales experience demonstrating expertise in Part D and Part B drugs.
  • Knowledge of Medicare Advantage, Medicare, Commercial, Marketplace, and Medicaid lines of business.
  • Ability to work independently and as part of a team.
  • Strong critical reasoning skills in clinical decision-making, planning, and organizing.
  • Current knowledge of clinical practices, related utilization management systems, information systems, and computer applications.
  • Ability to balance clinical expertise with business acumen.
  • Strong interpersonal, written, verbal, and presentation skills.
  • Ability to meet deadlines and manage multiple internal and external customer service demands within service expectations, including communicating effectively with challenging customers.

Nice To Haves

  • Experience in clinical research, technical writing and publishing, a clinical specialty, claims management, or healthcare policy.
  • Basic understanding of software development phases and life cycles.
  • Project management skills.
  • Six Sigma skills.
  • Knowledge of NCQA and URAC accreditation.

Responsibilities

  • Serve as the primary clinical subject matter expert for external client interactions, including utilization reviews, strategic discussions, and finalist presentations.
  • Provide ongoing clinical consultation to external clients and internal stakeholders on pharmacy trends, therapeutic advancements, and formulary strategy.
  • Act as a clinical consultant to the internal sales team to foster partnerships and enhance client value and experience.
  • Partner with consultant teams to align clinical pharmacy strategy with account priorities and provide a unified client experience.
  • Assist with developing and delivering client-facing presentations on utilization trends, market insights, clinical program performance, pharmacy strategy, and recommendations.
  • Review and analyze account-specific pharmacy utilization, trend data, and formulary or utilization management performance to identify opportunities to improve clinical outcomes and cost efficiency.
  • Evaluate clinical program impact and recommend modifications based on performance insights and evolving standards of care.
  • Collaborate with vendors, PBMs, accounts, and internal parties on clinical program oversight and performance management.
  • Support new pharmacy business processes, including reviewing written RFP responses and presenting at finalist meetings.
  • Contribute clinical expertise to strategic discussions for new and existing business opportunities.
  • Monitor and synthesize pharmacy market developments, including new drug approvals, pipeline trends, and competitor strategies, and translate insights into practical client recommendations.
  • Provide training and work with offshore pharmacists to help build their expertise.
  • Occasionally travel domestically or internationally for client meetings; travel requirement is 25%.
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