DIRECTOR, SPECIALTY CLINICAL SOLUTIONS- RPH/PHARMD REQUIRED- REMOTE
Company: Prime Therapeutics
Location: Salt Lake City
Posted on: October 3, 2024
Job Description:
Our work matters. We help people get the medicine they need to
feel better and live well. We do not lose sight of that. It fuels
our passion and drives every decision we make.Job Posting
TitleDirector, Specialty Clinical Solutions- RPH/PharmD required-
REMOTEJob Description SummaryResponsible for support and
development of Medical Pharmacy program strategy as part of the
Medical Pharmacy Business Development team. Responsible for
managing current Medical Pharmacy clients and potential new
clients. Required to serve as a Medical Pharmacy clinical resource
throughout the organization and support all clinical pharmacy
programs involving Medical Specialty medications and additional
clinical programs as needed. Expected to assume leadership of
projects as assigned by VP, Medical Pharmacy Strategy.Job
DescriptionJob Profile SummaryResponsible for support and
development of Medical Pharmacy program strategy as part of the
Medical Pharmacy Specialty Clinical Solutions team. Responsible for
managing current Medical Pharmacy clients and potential new
clients. Required to serve as a Medical Pharmacy clinical resource
throughout the organization and support all clinical pharmacy
programs involving Medical Specialty medications and additional
clinical programs as needed. Expected to assume leadership of
projects as assigned by VP, Medical Pharmacy Strategy.
- Job Description
- Supports overall Medical Pharmacy Product line for health plans
through validated program enhancements, creation of usable, client
collateral materials with marketing, and onsite client
presentations
- Leads evaluation and identification opportunities for improved
management of Medical benefit drugs through clinical research and
analytics that improve medical cost savings and provide clinical
quality initiatives
- Manages current clients in all Medical Pharmacy programs such
as Fee Schedule Management, Prior Authorization, Post Service Claim
Edits, Site of Service and any additional programs.
- Develops new opportunities and expands programs for existing
clients.
- Works with analytics team to provide business rules and develop
new drug to market cost impact analyses for health plan
clients
- Manages Medical Pharmacy development needs for potential new
clients.
- Identifies and develops opportunities for improved process
efficiencies for Medical Pharmacy programs.
- Identifies enhanced reporting methodologies for Medical
Pharmacy Programs.
- Supports development and production of Medical Pharmacy Trend
Report, owning specific sections as delegated
- Supports development, production and monitoring of Specialty
Pharmacy Pipeline Report.
- Communicates and collaborates effectively with all internal
stakeholders
- Provides Medical Pharmacy expertise within the organization to
other business units and within Prime Therapeutics
- Develops potential opportunities and all research and materials
for presentations at National pharmacy/healthcare industry
meetings, white papers and published papers.
- Develops appropriate submissions for program presentations at
National meetings and for publication acceptance.Responsibilities
- 7+ years of pharmacy, managed care and pharmaceutical industry
experience.
- At least 1-2 years' Health Plan Pharmacy experience with
knowledge of Medical Pharmacy benefit management strategies.
- Strong interpersonal, consultation, organizational, tracking
and follow-up skills.
- Pharmacy, Managed Care, Pharmaceutical Industry
experience.
- Ability to research, obtain, coordinate, and integrate feedback
and directions from diverse operational groups and organizations
into a written product.
- Excellent verbal and written communication skills.
- Knowledge of legislative/oversight bodies (e.g.,
URAC-Utilization Review Accreditation Commission, CMS-Centers for
Medicare & Medicaid Services, NCQA-National Committee for Quality
Assurance, and ERISA-Employee Retirement Income Security Act of
1974).
- Requires an in depth understanding of the pharmacy industry
including drugs paid for on the medical benefit and pharmacy
benefit.
- Generates high confidence in project output and
production.
- Independent worker requiring little oversight, self
motivated.
- Strong communication and presentation skills.
- Experience and thorough understanding of Microsoft Office
products, and other relevant software systems and
applications.
- Data review and interpretation skills required.
- Must possess RPh or PharmD license in good standing.
- Health Plan experience managing drugs on both Pharmacy and
Medical benefit.Work ExperienceWork Experience - Required:Managed
Healthcare, PharmacyWork Experience - Preferred:EducationEducation
- Required:Bachelors - PharmacyEducation - Preferred:PharmD -
PharmacyCertificationsCertifications - Required:RPH - Registered
Pharmacist - Pharmacy - PharmacyCertifications - Preferred:PharmD -
Doctor Of Pharmacy, State Licensure - Pharmacy - PharmacyPotential
pay for this position ranges from $132,440.00 - $238,360.00 based
on experience and skills. Pay range may vary by 8% depending on
applicant location.To review our Benefits, Incentives and
Additional Compensation, visit our Benefits Page
(https://www.primetherapeutics.com/careers/benefits/) and click on
the Benefits at a glance button for more detail.Prime Therapeutics
LLC is an Equal Opportunity Employer and a Tobacco-free workplace .
We encourage diverse candidates to apply and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex (including pregnancy), sexual
orientation, gender identity or expression, genetic information,
marital status, family status, national origin, age, disability,
veteran status, or any other legally protected class under federal,
state, or local law. Every employee must understand, comply with
and attest to the security responsibilities and security controls
unique to their position; and comply with all applicable legal,
regulatory, and contractual requirements and internal policies and
procedures .Positions will be posted for a minimum of five
consecutive workdays.Prime Therapeutics' fast-paced and dynamic
work environment is ideal for proactively addressing the constant
changes in today's health care industry. Our employees are
involved, empowered, and rewarded for their achievements. We value
new ideas and work collaboratively to provide the highest quality
of care and service to our members.If you are looking to advance
your career within a growing, team-oriented, award-winning company,
apply to Prime Therapeutics today and start making a difference in
people's lives.Prime Therapeutics LLC is proud to be an equal
opportunity and affirmative action employer. We encourage diverse
candidates to apply, and all qualified applicants will receive
consideration for employment without regard to race, creed, color,
religion, gender, sexual orientation, gender identity/expression,
national origin, disability, age, genetic information, veteran
status, marital status, pregnancy or related condition (including
breastfeeding), expecting or parents-to-be, or any other basis
protected by law.We welcome people of different backgrounds,
experiences, abilities, and perspectives including qualified
applicants with arrest and conviction records and any qualified
applicants requiring reasonable accommodations in accordance with
the law.Prime Therapeutics LLC is a Tobacco-Free Workplace
employer.If you are an applicant with a disability and need a
reasonable accommodation for any part of the employment process,
please contact Human Resources at 1.866.469.1257 or email
Careers@primetherapeutics.com.
Keywords: Prime Therapeutics, Logan , DIRECTOR, SPECIALTY CLINICAL SOLUTIONS- RPH/PHARMD REQUIRED- REMOTE, Executive , Salt Lake City, Utah
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