Pharmacy Resident - Managed Care

MedImpact•San Diego, CA

1d•Onsite

About The Position

MedImpact’s Managed Care Pharmacy Residency Program is a one-year program designed to develop future managed care leaders through a foundation in clinical and managed care principles. The resident supports the Government Programs and Services team and other departments through rotations and longitudinal projects spanning clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics, and research. The role includes four hours of weekly staffing evaluating prior authorization requests and understanding the regulatory requirements governing those reviews. The resident also conducts a longitudinal research project for presentation at the AMCP Annual Meeting. This is a full-time, non-exempt position. The typical schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., with overtime and work at night, on weekends, or on holidays required as business needs arise. The position is on-site at MedImpact’s San Diego headquarters or another company location; remote work may be approved by management based on business requirements. Domestic travel of up to 25% is required. The position is not eligible for sponsorship.

Requirements

PharmD from an ACPE-accredited school of pharmacy.
Must obtain Registered Pharmacist licensure in the state of residence and Kentucky by October 1 of the program year.
Proficiency with Microsoft Office Suite.
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 analyze formulas, scientific equations, graphs, and other nonverbal symbols, including in complex situations.
Ability to work with abstract and concrete variables; define problems, collect data, establish facts, and draw valid conclusions.
Ability to work with probability, statistical inference, geometry, trigonometry, and calculations involving discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to present information effectively to top management, public groups, and boards of directors.
Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, and governmental regulations.
Ability to perform the essential duties, including regularly sitting, talking or hearing, standing, walking, handling objects, and reaching; occasionally lift or move up to 25 pounds; and maintain close vision, adequate color vision, and depth perception.
Ability to work overtime and nights, weekends, or holidays as required.

Responsibilities

Perform cost-savings and member-impact analyses after learning benefit design and utilization-management strategies.
Contribute to clinical quality programs, including Drug Utilization Review, Transitions of Care, and 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 managing government programs to evaluate and facilitate regulatory programs.
Perform quality-program oversight, develop quality-improvement initiatives, and support oversight audits.
Evaluate prior-authorization requests and learn the regulatory requirements governing reviews; provide four hours of weekly staffing.
Assist with P&T material preparation and weekly drug updates.
Present at MedImpact P&T Committee meetings.
Develop presentation skills to lead meetings while learning project management and how to navigate corporate complexities.
Conduct a longitudinal research project designed for presentation at the AMCP Annual Meeting.