PGY1 Managed Care Resident

Judi Health • Charlotte, NC

13d • Hybrid

About The Position

The PGY1 Managed Care Resident supports safe, clinically appropriate, and cost-effective medication use while developing broad experience across managed care pharmacy. The resident contributes to formulary management, clinical programs, benefit operations, utilization management, analytics, client support, and strategic business initiatives for commercial, Medicare, Medicaid, and health insurance marketplace clients. The role combines hands-on operational responsibilities with structured learning experiences designed to build clinical judgment, business acumen, and leadership skills.

The residency program, established in 2021, provides structured rotations, cross-functional collaboration, and applied project work in a PBM setting. Learning experiences include clinical programs, formulary operations, government formulary operations, benefit operations, government programs, clinical call center operations and prior authorization, client management, solutions architecture and product, executive pharmacy leadership, and elective rotations based on resident interest and availability.

The position is hybrid and requires the candidate to work from the New York, Charlotte, or Denver office. The resident will design, manage, and complete a clinical residency project for conference presentation, with the intent to publish research findings.

Requirements

• Doctor of Pharmacy (PharmD) degree from an accredited School of Pharmacy, completed before the residency program begins.
• Minimum 2.8 GPA and successful completion of all APPE rotations.
• Licensed pharmacist or eligible for pharmacist licensure in any state; licensure must be obtained by September 30 of the residency year.
• Proficiency in Microsoft Office, with an emphasis on Microsoft Excel.
• Ability to balance multiple complex projects simultaneously and shift priorities when needed.
• Excellent written, verbal, interpersonal, and presentation skills, with the ability to work professionally with team members, executive management, clients, and business partners.
• Ability to work effectively in a hybrid environment, both independently and collaboratively.
• Familiarity working with large data sets.
• Highly organized, detail-oriented, flexible, and committed to delivering high-quality work.

Responsibilities

• Support initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients.
• Participate in the development and maintenance of formularies across multiple lines of business.
• Analyze pharmacy cost of care and utilization trends and support the development of utilization management edits, including step therapy, prior authorization, and quantity limits.
• Support the design of pharmacy benefits based on client-specific elections.
• Create pharmaceutical pipeline newsletters, publications, and presentations.
• Serve as a clinical resource, including supporting the prior authorization unit and clinical call center.
• Analyze utilization data and create reports for group plan sponsors, including employers and labor unions.
• Participate in developing and maintaining clinical programs such as drug utilization review, medication therapy management, adherence, and disease management programs.
• Evaluate industry data and recommend improvements to clinical programs, clinical offerings, and the overall value proposition.
• Support the clinical client management team as needed.
• Observe and participate in committee activities related to the pharmacy program.
• Design, manage, and complete a clinical residency project for presentation at a conference, with the intent to publish research findings.
• Supervise pharmacy students and support the continued development of the student program, including coordinating with preceptors as needed.
• Support quality improvement projects, requests for information, requests for proposal submissions, and general business operations as needed.
• Collaborate with cross-functional teams across Judi Health and Judi Rx throughout assigned rotations and projects.
• Adhere to the Judi Health Code of Conduct and report non-compliance.

Benefits

• Estimated stipend of $65,000.
• Paid vacation and holidays.
• Comprehensive health plan, including medical, dental, vision, and life insurance.
• Company-sponsored wellness program.
• Retirement savings account.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Ph.D. or professional degree