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Clinical Program Pharmacist Principal- REMOTE

Role overview

Qualifications

  • Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree
  • Current pharmacist license in good standing with State Board of Pharmacy
  • 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years in a clinical and/or managed care setting
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Responsibilities

  • Develop and manage complex clinical product initiatives including clinical criteria
  • Gather, analyze, and synthesize market information, clinical guidelines and member claims data to support clinical product management initiatives, products and strategies
  • Coordinate, launch and implement new products, product enhancements, and process improvements across all stakeholders
  • Represent the Clinical department as a strategic partner during customer requirement sessions

Key facts

Hard skills

Other skills

  • Program Management
  • Analytical Skills
  • Microsoft Excel
  • Microsoft Word
  • Communication
  • Problem Solving
  • Detail Oriented
  • Teamwork

About the company

Prime Therapeutics logo

Prime Therapeutics

Pharmacy Benefit Management (PBM)

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 24 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Prime’s recruiting team will only contact you via phone call or through a corporate email address. Do not respond to suspicious emails or social media messages. If you have questions or are skeptical about any follow-up communications, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Company details

Company typeLarge
IndustryPharmacy Benefit Management (PBM)
Company size1001 - 5000

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Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Clinical Program Pharmacist Principal- REMOTE

Job Description

The Principal Clinical Program Pharmacist Prin is responsible for implementing the strategy and developing clinical product(s). This role is responsible for keeping the product(s) competitive by understanding market problems, executing the product roadmap, and maintaining clinical criteria. The role requires routine interaction with leadership regarding the product strategy and must collaborate with other departments to ensure the strategy is executed as established.

Responsibilities

  • Develop and manage complex clinical product initiatives including clinical criteria
  • Gather, analyze, and synthesize market information, clinical guidelines and member claims data to support clinical product management initiatives, products and strategies
  • Coordinate, launch and implement new products, product enhancements, and process improvements across all stakeholders
  • Represent the Clinical department as a strategic partner during customer requirement sessions
  • Responsible for regulatory (URAC/NCQA, CMS, state law) oversight and external representation of the department
  • Validate the accuracy of clinical product information and set up; may include user acceptance testing of applications and programs
  • Establish and maintain cross-functional partnerships with leaders to drive informed decisions and successful execution of initiatives
  • May be required to routinely collaborate and interact with client partners
  • Other duties as assigned

Minimum Qualifications

  • Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree
  • Current pharmacist license in good standing with State Board of Pharmacy
  • 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care setting

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Microsoft Excel and Word proficiency
  • Proven experience working in regulated environment
  • Ability to work in ambiguous role with undefined parameters
  • Exceptional relationship and communication skills; excellent written, verbal and presentation skills with the ability to convey complex ideas to diverse audiences
  • Strong analytical and problem-solving skills with attention to detail and quality
  • Ability to work on multiple projects simultaneously under pressure with strict timelines
  • Ability to develop process efficiencies
  • Ability to work well in team environment

Preferred Qualifications

  • Experience in cross-functional departmental collaboration
  • Broad experience in or exposure to the Pharmacy Benefit Management (PBM) business

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

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, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local 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.

Positions will be posted for a minimum of five consecutive workdays.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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