Pharmacy Resident - Managed Care

MedImpact Healthcare Systems, Inc. • San Diego, CA

81d • $19 - $30

About The Position

MedImpact’s Managed Care Pharmacy Residency Program is a one-year program that develops future managed care leaders by building a strong foundation of knowledge in both clinical and managed care principles. By working across multiple teams serving all lines of business, the diverse experience gained will amply prepare the resident for a career in managed care pharmacy. The Managed Care Pharmacy Resident provides support to the Government Programs and Services (GPS) team and other departments through managed care learning experiences (rotations) and longitudinal projects. The rotations/projects will include a breadth of disciplines including clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics and research.

Requirements

• PharmD from an ACPE-accredited school of pharmacy.
• Minimum GPA of 3.0.
• Managed Care experience preferred.
• Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year.

Nice To Haves

• Strong analytical and problem-solving capabilities.
• Excellent communication and presentation skills.
• Ability to work independently and as part of a team.
• Knowledge of PBM operations, drug formulary systems, and healthcare regulations.

Responsibilities

• Perform cost savings and member impact analyses after learning benefit design and utilization management strategies.
• Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings.
• Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business.
• Participate in the management of government programs to evaluate and facilitate regulatory programs.
• Perform quality program oversight and develop quality improvement initiatives while supporting oversight audits.
• Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing.
• Assist in P&T material preparation and weekly drug updates.
• Present at MedImpact P&T Committee meetings.
• Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities.
• Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting.

Benefits

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

What This Job Offers

• Job Type: Full-time
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees