Industry Relations Pharmacist

Industry Relations Pharmacist

Requirements

• Doctor of Pharmacy (PharmD) Degree from an accredited institution
• Current, unrestricted registered pharmacist license(s)
• Pharmacy experience working for a health plan or PBM preferred with a focus on formulary, utilization management, and rebate strategy
• Possess a strong knowledge of drug therapeutics, disease state management, and treatment guidelines as part of the development of a clinical strategy
• Leverage a deep knowledge of highly managed specialty medications/strategies, formulary development and maintenance processes, utilization management, and product pipeline to develop a formulary strategy
• Understanding of financial arrangements within the landscape between pharmaceutical companies, PBMs, clients, payers, GPOs, aggregators, and members
• Possess strong understanding of language criteria to develop rebate, formulary, and utilization management strategies
• Proficient in Microsoft office Suite with emphasis on Microsoft Excel and PowerPoint
• Ability to balance multiple complex projects simultaneously
• Exceptional written and verbal communication skills
• Ability to speak clearly and concisely, conveying complex or technical information to various audience type
• Extremely flexible, highly organized, self-starter, and able to shift priorities easily
• Attention to detail and commitment to delivering high quality work product
• Proven ability to work well and collaboratively cross functionally, with multiple teams or departments in a fast-paced environment
• Ability to travel
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Responsibilities

• Utilize comprehensive understanding of clients’ formularies and rebates to develop and present strategies that that promote lowest net-cost options within specific therapeutic classes
• Lead and develop financial modeling using client’s formulary and benefit structure to identify opportunities for formulary optimization that is based on various data sources, and utilization data
• Develop repeatable methods to perform multiple analysis to compare and to evaluate the outcomes for each strategy
• Create reporting standards to track financial performance of client adoption of strategies and summarize key metrics of progress
• Leverage strong project management skills to manage multiple requests and have a sense for details that ensures accuracy of information
• Align internal stakeholders on strategy and to present externally to clients
• Stay up to date on the drug pipeline and its impact or forecasting potential impact on drug classes/rebates/utilization/modeling
• Ensuring rebate compliance and clinical auditing of client custom formulary setup and UM criteria
• Vendor relationship and management
• Participate in quality performance initiatives
• Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

Preferred Qualifications

• Residency/fellowship preferred
• Experience working with large datasets preferred