6 часов назад
Clinical Program Advisor - Express Scripts - Strategic Markets (Pharmacy Benefits)
95 500 - 159 100$
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Текст:
TL;DR
Clinical Program Advisor - Express Scripts - Strategic Markets (Pharmacy Benefits): Reviewing and evaluating utilization management criteria, formulary policies, pharmaceutical contracts, and rebate invoicing impacts with an accent on clinical accuracy, formulary maintenance, and client consultation. Focus on interpreting rebate requirements, assessing financial and clinical impacts of formulary changes, tracking pharmaceutical market developments, and supporting strategic client initiatives.
Location: Hybrid in St. Louis, Missouri, United States
Salary: $95,500–$159,100 USD yearly, plus eligibility for an annual bonus plan.
Company
Evernorth Health Services, a division of , develops pharmacy, care, and benefit solutions designed to improve health outcomes and accessibility.
What you will do
- Review, interpret, and evaluate utilization management criteria against pharmaceutical rebate contract requirements.
- Support formulary, rebate, and utilization management strategies for current and future client needs.
- Maintain formulary status changes, review new formulary implementations, and assess policy updates.
- Prepare clinical and financial impact assessments for formulary tiers, contracts, and utilization management strategies.
- Monitor pharmaceutical industry developments, including new drugs, patent expirations, generic approvals, and biosimilar launches.
- Collaborate with Pharmaceutical Contracting, Clinical Consulting, Pharmaceutical Invoicing, Account Management, and clients on clinical initiatives and training.
Requirements
- Bachelor of Science in Pharmacy with experience or Doctor of Pharmacy degree.
- Current U.S. pharmacist license required.
- Experience in the PBM, pharmaceutical, or healthcare industry.
- Experience with pharmaceutical contracts, pharmacy benefits, and clinical utilization criteria evaluation is strongly preferred.
- Excellent presentation, communication, organizational, prioritization, problem-solving, and decision-making skills.
- Proficiency in Microsoft Office applications.
Nice to have
- General knowledge of Medicare and/or Medicaid pharmacy benefits.
Culture & Benefits
- Hybrid work arrangement with a cable broadband or fiber-optic internet connection required for home working, providing at least 10 Mbps download and 5 Mbps upload speeds.
- Medical, vision, dental, well-being, and behavioral health programs available from the first day of employment.
- 401(k), company-paid life insurance, and tuition reimbursement.
- At least 18 paid time-off days per year, paid holidays, and leaves of absence.
- Tobacco-free workplace policy.
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