Pharmacy Resident - Managed Care

MedImpact•San Diego, CA

15d

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! 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
Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year.
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
Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases.
Ability to deal with a variety of abstract and concrete variables.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to effectively present information to top management, public groups, and/or boards of directors.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Composure
Decision Quality
Organizational Agility
Problem Solving
Customer Focus
Drive for Results
Peer Relations
Time Management
Dealing with Ambiguity
Learning on the Fly
Political Savvy

Nice To Haves

Managed Care experience preferred

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.