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 Title

Sr. Director Formulary Management- REMOTE

Job Description

Responsible for clinical analysis and research activities related to the implementation and ongoing maintenance of formulary and utilization management programs. Key strategist responsible for ensuring all clients initiated, and internal clinical program and new clinical product implementation projects are accurately implemented and maintained.

Responsibilities

Clinical expert for the organization in leading the development and delivery of medication utilization programs in support of total drug solutions.
Prepares and presents clinical business strategy plan.
Supports opportunities for new clinical products for the expansion and maximization of revenue growth.
Client facing responsibilities related to leading the up sell of clinical program solutions and formulary related programs through consultative methods and processes (quarterly/annual reviews, modeling reviews, data warehouse reporting, etc.).
Leadership oversight of P&T committee charter and membership.
Consults with peers, business divisions, and business operations to troubleshoot and resolve issues associated with the marketing and sales, financial underwriting, implementation, reporting, etc. of clinical programs and services in support of business division goals and objectives.
Management oversight of the clinical team responsible for the implementation and maintenance of drug formularies, utilization management algorithm/criteria input for Prior Authorization review.
Provides strategic support and coaching to team members.
Builds UM Clinical Development team; works to develop employee?s skills, evaluates performance and provide feedback, and oversees resolution of employee relations issues.
Represents UM Clinical Development capabilities in RFP inquiries and sales finalist presentations.
Acts as UM Clinical Development business owner; represents business needs for departmental system applications; collaborates with client facing teams to execute on client requests that impact operational tools.
Partners with Benefit and Formulary Operations in test case requirements development and review for the quality testing of formulary updates and new utilization management programs.
Other projects as assigned.

Education & Experience

Education Level
- Bachelors - Pharmacy
- PharmD - Pharmacy
Required
- Yes
- Yes
Fields of Study
- Pharmacy
- Pharmacy

Experience Level
- 10+ years
- 2+ years
Required
- Yes
- Yes
Details
- Pharmacy
- Management/Leadership

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

Additional Qualifications

10+ years' experience in pharmacy, managed care or PBM with 3 or more years experience in a leadership role.

Preferred Qualifications

Physical Demands

Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
Must be able to constantly operate a computer and/or other office productivity equipment
Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

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.

Potential pay for this position ranges from $143,000.00 - $243,000.00 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.

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.

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

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