Pharmacist

Blue Cross Blue Shield of Massachusetts•Hingham, MA

1d•$118,000 - $147,290•Hybrid

About The Position

The Clinical Pharmacist- Commercial is primarily responsible for oversight/support of the formulary offerings, utilization management protocols, and related clinical programs. This role leverages clinical expertise and a strong understanding of managed care to develop, implement, and administer formulary and clinical management strategies to support clinical and financial goals. This pharmacist also serves as the Subject Matter Expert and primary point of contact for these functions within the company. As an integral part of the Pharmacy department, the Clinical Pharmacist collaborates within the broader Pharmacy team, with our PBM, within the HMM division, and cross-functionally with Sales, Underwriting, Actuarial, Product, and others.

Requirements

Excellent written and oral communication skills including ability to present to senior leaders and to external audiences
Strong interpersonal skills with demonstrated ability to establish and maintain positive, effective working relationships with staff, internal, and external customers
Superb organizational and time management skills, ability to work independently and effectively prioritize multiple projects and assignments
Demonstrated strength in analysis, identification of problems, and issue resolution
Excellent skills in teamwork and team approaches to goal setting and attainment, results oriented
Minimum of professional Registered Pharmacist degree required.
Unrestricted current and valid license to practice pharmacy in the state of Massachusetts
Experience in a managed care setting, either from the provider, the payer, or the PBM side of the industry, is required.

Nice To Haves

Graduate study in business, public health, or health policy fields will be favorably considered.
2-5 years prior pharmacy management experience preferred

Responsibilities

Actively lead or participate in the strategic planning, development, and implementation of clinically appropriate and cost-effective programs to help control trend and drive positive clinical outcomes. This includes tracking drug pipeline activity to proactively identify clinical management opportunities.
Collaborate with other business areas to effectively implement and support ongoing maintenance of clinical strategies including communications, drug lists, online drug look-up tools, and related marketing collateral.
Provide ongoing evaluation of clinical programs and initiatives to ensure objectives are met.
Serve as the Subject Matter Expert and primary point of contact for formulary and clinical programs; assist with ad hoc clinically focused requests from internal business areas, providers, accounts, and members.
Support corporate innovation initiatives with external partners such as Evio as needed.