Sr Clinical Pharmacist
About The Position
We are hiring for a Senior Clinical Pharmacist! This individual will serve as the strategic clinical pharmacy lead and primary pharmacy advisor for a large employer client. You will be responsible for developing, communicating, and executing pharmacy benefit strategies that optimize clinical outcomes, member experience, and total cost of care. You will also act as the primary clinical liaison between Blue Cross NC and client stakeholders, providing leadership across formulary management, utilization management, clinical programs, rebate strategy, and pharmacy operations. Also, this individual will partner closely with internal pharmacy, medical, finance, analytics, operations, and account management teams to ensure successful delivery of pharmacy benefit solutions and achievement of client objectives.
Requirements
- Doctor of Pharmacy (PharmD) degree
- In lieu of degree, 10+ years of experience in related field.
- Active pharmacist license in North Carolina or ability to obtain licensure prior to hire.
Nice To Haves
- 5+ years of managed care, health plan, PBM, or employer pharmacy consulting experience.
- Experience serving as a dedicated clinical lead for a large employer, government, or public-sector client.
- Proven experience leading complex pharmacy initiatives involving multiple stakeholders and cross-functional teams.
- Demonstrated experience presenting and consulting with executive-level clients and external stakeholders.
- Strong experience with formulary management, utilization management strategy, pharmacy trend management, and clinical program development.
- Experience with rebate strategy, manufacturer contracting concepts, and pharmacy financial management preferred.
- Working knowledge of pharmacy operations, specialty pharmacy, and pharmacy benefit administration preferred.
- Excellent communication, relationship management, presentation, and influencing skills.
- Strong preference for candidates residing in or willing to relocate to the Raleigh-Durham area to support ongoing client engagement and partnership activities.
Responsibilities
- Serve as the strategic clinical pharmacy lead and trusted advisor for a large employer client, providing consultation and recommendations on pharmacy benefit strategy and performance.
- Develop and communicate pharmacy benefit strategies related to formulary design, utilization management, specialty pharmacy, clinical programs, and emerging drug trends.
- Collaborate with client leadership and internal stakeholders to align pharmacy strategies with business objectives, affordability goals, and member health outcomes.
- Lead and support client-facing meetings, quarterly business reviews, strategic planning sessions, and executive presentations.
- Evaluate pharmacy trend drivers, utilization patterns, pipeline therapies, and market developments to identify opportunities for program optimization.
- Provide clinical leadership and oversight for formulary management initiatives, utilization management programs, and evidence-based coverage strategies.
- Partner with rebate and financial teams to evaluate manufacturer contracting opportunities and rebate strategies that support client objectives.
- Support the development, implementation, and monitoring of clinical programs including specialty pharmacy management, site-of-care optimization, preventive medication strategies, and drug utilization initiatives.
- Collaborate with pharmacy operations teams to ensure successful implementation and ongoing management of pharmacy benefit programs.
- Analyze and present clinical and financial performance metrics, identifying emerging risks, opportunities, and recommended actions.
- Ensure compliance with applicable regulatory, accreditation, and quality requirements related to pharmacy benefits.
- Serve as a subject matter expert for internal business partners, sales teams, account management teams, and executive leadership.
- Maintain awareness of industry trends, emerging therapies, regulatory developments, and innovative pharmacy benefit solutions.
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
