Clinical Program Pharmacist Principal- REMOTE

Prime Therapeutics•Home, WV
•$124,000 - $211,000•Remote

About The Position

The Principal Clinical Program Pharmacist is responsible for implementing strategy and developing clinical products. The role keeps products competitive by understanding market problems, executing the product roadmap, and maintaining clinical criteria. It routinely interacts with leadership regarding product strategy and collaborates with other departments to ensure that strategy is executed as established. The role may also require routine interaction with client partners and external representation of the Clinical department. The position is responsible for regulatory oversight, including URAC/NCQA, CMS, and state law requirements. Employees must comply with the security responsibilities and controls applicable to their job, as well as legal, regulatory, contractual, and internal requirements. The employer states that reasonable accommodations may be made to enable employees with disabilities to perform essential job functions, absent undue hardship.

Requirements

  • Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.
  • Current pharmacist license in good standing with a State Board of Pharmacy.
  • At least 3 years of relevant work experience in a retail, hospital, clinical, and/or managed care setting, including at least 2 years in a clinical and/or managed care setting.
  • Must be eligible to work in the United States without work visa or residency sponsorship.
  • Proficiency in Microsoft Excel and Word.
  • Proven experience working in a regulated environment.
  • Ability to work in an ambiguous role with undefined parameters.
  • Exceptional relationship and communication skills, including written, verbal, and presentation skills and the ability to convey complex ideas to diverse audiences.
  • Strong analytical and problem-solving skills, with attention to detail and quality.
  • Ability to manage multiple projects simultaneously under pressure and strict timelines.
  • Ability to develop process efficiencies.
  • Ability to work well in a team environment.
  • Must understand, comply with, and attest to job-specific security responsibilities and controls, and comply with applicable legal, regulatory, contractual, and internal requirements.
  • Must be able to perform the essential functions of the job, with reasonable accommodations available as described by the employer.

Nice To Haves

  • Experience in cross-functional departmental collaboration.
  • Broad experience in or exposure to the Pharmacy Benefit Management (PBM) business.

Responsibilities

  • Develop and manage complex clinical product initiatives, including clinical criteria.
  • Gather, analyze, and synthesize market information, clinical guidelines, and member claims data to support clinical product management initiatives, products, and strategies.
  • Coordinate, launch, and implement new products, product enhancements, and process improvements across stakeholders.
  • Represent the Clinical department as a strategic partner during customer requirement sessions.
  • Provide regulatory oversight for URAC/NCQA, CMS, and state law requirements, and represent the department externally.
  • Validate the accuracy of clinical product information and setup, which may include user acceptance testing of applications and programs.
  • Establish and maintain cross-functional partnerships with leaders to support informed decisions and successful execution of initiatives.
  • Routinely collaborate and interact with client partners, as may be required.
  • Perform other duties as assigned.
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