Senior Clinical Pharmacist
About The Position
The Senior Clinical Pharmacist provides clinical and operational leadership for Medicaid Medication Therapy Management (MTM) programs across multiple state markets. The role translates state clinical objectives into effective MTM program designs and oversees ongoing program administration. As a clinical MTM subject-matter expert, the pharmacist works with state market partners, vendors, and other stakeholders on eligibility, clinical service design, reporting, budget management, and program performance. The pharmacist leads clinical and operational administration of Medicaid MTM programs and ensures program design aligns with state-specific requirements, contractual obligations, RFP commitments, and clinical goals. The position reports to an Associate Director.
Requirements
- Active Pharmacist license with the Board of Pharmacy in the appropriate state of residence.
- At least one year of experience in a pharmacy setting.
- Proficiency with MS Office Suite and navigating multiple systems and platforms.
- Ability to troubleshoot general technical difficulties in a remote environment.
- Professional experience managing multiple projects and prioritizing as business needs change.
Nice To Haves
- PharmD.
- Health Plan experience.
- Knowledge of Medicaid as it relates to pharmacy.
- Six Sigma and/or Project Management Professional certification.
- Pharmacy practice residency or similar pharmacy practice experience.
Responsibilities
- Establish and maintain program eligibility and Comprehensive Medication Review (CMR) and Targeted Medication Review (TMR) service design.
- Oversee program eligibility processes.
- Manage vendor relationships and program budgets.
- Coordinate required monthly, quarterly, and annual state reporting.
- Monitor evolving Medicaid requirements.
- Provide Quality Program oversight for Medicare and Medicaid MTM programs.
- Ensure MTM program design aligns with state-specific requirements, contractual obligations, RFP commitments, and clinical goals.
Benefits
- Medical benefits.
- Dental benefits.
- Vision benefits.
- 401(k) retirement savings plan.
- Paid time off.
- Company and personal holidays.
- Paid parental and caregiver leave.
- Short-term disability.
- Long-term disability.
- Life insurance.
- Bonus incentive plan based on company and/or individual performance.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
