Pharmacist, Principal

Blue Shield of California•Long Beach, CA
•Hybrid

About The Position

The Pharmacist, Principal joins the Formulary Strategy and Pharmacy & Therapeutics team, which develops formularies, clinically evaluates drugs, and supports the Pharmacy & Therapeutics process to advance clinically appropriate, evidence-based, and cost-effective drug management strategies. Reporting to the Senior Manager of Pharmacy & Therapeutics, this role leads drug and therapeutic class reviews by evaluating clinical evidence, guidelines, comparative effectiveness, and budget impact data for formulary decision making. The pharmacist also collaborates with cross-functional stakeholders on pharmacoeconomic and value-based assessments that support Blue Shield of California’s formulary strategy and mission. The position requires working independently and collaboratively with multidisciplinary teams, with minimal oversight and direction. It follows a hybrid workplace model: most teams come into the office two days each week. Employees who live more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Requirements

  • Doctor of Pharmacy (PharmD) degree.
  • Active California Registered Pharmacist (RPh) license in good standing.
  • Four years of experience in clinical pharmacy.
  • Demonstrated leadership skills and capabilities.
  • Thorough clinical knowledge regarding the therapeutic use of drugs.
  • Excellent oral and written communication skills, including presentation skills.
  • Strong problem-solving, analytical, and project or program management skills.
  • Ability to work independently and as part of a team, including in a hybrid environment.
  • Proficiency with Microsoft Office applications.

Nice To Haves

  • Experience working in a managed care setting.
  • Experience with direct client and provider interface.

Responsibilities

  • Facilitate formulary development and provide Pharmacy & Therapeutics clinical support based on scientific evidence and standards of practice, including assessment of peer-reviewed literature, pharmacoeconomic studies, outcomes research, comparative effectiveness research, and budget impact analyses.
  • Collaborate with analytics and cross-functional partners to develop pharmacoeconomic analyses, outcomes research, and recommendations supporting cost-effective formulary management.
  • Develop and analyze prescription drug and medical claims data reports to identify opportunities to improve quality and promote cost-effective medication use.
  • Regularly assess medical evidence to support appropriate medication use through the annual medication review process.
  • Partner with management and cross-functional teams to support development and implementation of value-based formulary design, including enhancements to Pharmacy & Therapeutics processes that enable value-based decisions.
  • Prepare client-facing clinical summaries, supporting documentation, and reports, and communicate clinical value propositions across therapeutic areas.
  • Perform retrospective data analysis and healthcare cost analysis to support formulary decisions, formulary maintenance, and management of total cost of care.
  • Present at formulary meetings, Pharmacy & Therapeutics committees, and drug utilization review meetings.
  • Work independently and collaboratively with multidisciplinary teams with minimal oversight and direction.

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What This Job Offers

Job Type

Full-time

Career Level

Principal

Education Level

Ph.D. or professional degree

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