Our Manager Clinical Pharmacist will handle ongoing, day-to-day management of the clinical pharmacy programs, including formulary management, development of pharmacy review policies, making recommendations to the Pharmacy and Therapeutics Committee from Medi-span review and other information available, performing rebate evaluation, administering or developing generic utilization programs, and resolving escalated pharmacy-related issues for members, providers, and purchasers.
Consult on drug therapies with medical staff and suggest alternatives as appropriate. Collaborate with and support physician and physician groups including academic detailing and financial risk management related to prescribing. Develop and/or maintain utilization and productivity reporting for the department. Stay abreast of pharmacy, PBM, and payer industry changes. Serve as the primary pharmacy representative to Medical Management and the Blue Cross of Idaho Pharmacy & Therapeutics committee.
This role will have direct reports including individual contributors and managers. One of the managers is responsible over the utilization management team and the other manager is responsible with PBM utilization management oversight in addition to medical UM reviews and supporting other duties as assigned. This role is responsible for the performance of medication coverage of the pharmacy benefit and medical benefit including but not limited to utilization management, formulary management, medical benefit drug coverage, and clinical PBM oversight.
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