Company Overview
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The Role
The Clinical Pharmacist- Commercial is primarily responsible for oversight/support of the formulary offerings, utilization management protocols, and related clinical programs.
This role leverages clinical expertise and a strong understanding of managed care to develop, implement, and administer formulary and clinical management strategies to support clinical and financial goals. This pharmacist also serves as the Subject Matter Expert and primary point of contact for these functions within the company.
The Team
As an integral part of the Pharmacy department, the Clinical Pharmacist collaborates within the broader Pharmacy team, with our PBM, within the HMM division, and cross-functionally with Sales, Underwriting, Actuarial, Product, and others
Key Responsibilities:
As our Clinical Pharmacist- Commercial, you will spearhead and contribute to vital clinical initiatives. This includes:
- Strategic Program Leadership: Actively lead or participate in planning, developing, and implementing clinically sound, cost-effective programs to manage healthcare trends and enhance patient outcomes, including proactively monitoring the drug pipeline for new opportunities.
- Cross-Functional Collaboration: Partner with various business units to seamlessly implement and maintain clinical strategies, including communications, drug lists, online tools, and marketing materials.
- Program Evaluation: Continuously assess clinical programs and initiatives to ensure they meet their objectives.
- Subject Matter Expertise: Serve as the primary clinical expert and contact for formulary and clinical programs, addressing inquiries from internal teams, providers, accounts, and members.
Key Qualifications:
We are seeking a candidate with:
- Exceptional Communication: Excellent written and oral skills, with the ability to present effectively to senior leaders and external audiences.
- Strong Interpersonal Abilities: Proven ability to build positive and effective working relationships.
- Outstanding Organizational Skills: Superb time management, ability to work independently, and prioritize multiple complex projects.
- Analytical & Problem-Solving Prowess: Demonstrated strength in analysis, problem identification, and successful issue resolution.
- Team-Oriented & Results-Driven: Excellent teamwork skills with a focus on achieving collective goals and delivering results.
Education & Experience:
- A professional Registered Pharmacist (R.Ph.) degree is required; postgraduate studies in business, public health, or health policy are a plus.
- Must hold an unrestricted and current license to practice pharmacy in Massachusetts.
- Required experience in a managed care setting (provider, payer, or PBM).
- A preference for 2-5 years of prior pharmacy management experience.