Job Description

Job Details

PRINCIPLE RESPONSIBILITIES

• Provide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.
• Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice.
• Advise the Client Services/Sales team on pharmacy drug utilization review (DUR) issues.
• Serve as Clinical Liaison with Client Services Implementation team.
• Participate on quarterly Pharmacy & Therapeutics Review Committee.
• Develop and/or implement clinical pharmacy programs in collaboration with client retention initiatives.
• Coordinate all efforts related Plan/Patient Assistance programs related to client management.
• Maintain professional and technical knowledge by conducting research and by attending educational and technological workshops.
• Provide supportive clinical/data information for Quoting/Analytics division.
• Generate reporting on performance metrics related to client savings etc.
• Assist with pharmacy claim audits as needed.
• Duties as assigned.

Requirements

• Bachelor’s degree in pharmacy from an accredited college of pharmacy.
• Advanced education in pharmacy (Pharm D) a plus.
• Minimum five years’ experience in retail or hospital pharmacy.
• Clinical pharmacy experience in managed healthcare preferred.
• Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, pharmacies and plan members.
• Proficient PC skills in Windows-based applications.
• Highly organized with strong attention to detail and the ability to manage multiple priorities.
• Ability to be flexible and quickly adapt to the changing needs in the department.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting

The Perks Of Joining Our Team

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
• Time to Recharge: Paid vacation and holiday pay.
• Focus on Your Wellness: We offer a robust Employee Wellness Program.
• Invest in Your Future: 401 k with a company match.
• Support System: Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People: Employee referral program.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at ***email_hidden***.

ProCare Rx is an Equal Opportunity Employer.

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