Join a healthcare technology and pharmacy benefits organization focused on transforming payer and PBM operations.
The Senior Clinical Advisor supports prior authorization operations, pharmacy automation, clinical policy consultation, reporting and analytics, and quality management programs. This role works closely with pharmacy technicians, pharmacists, leadership, and external stakeholders to improve efficiency, support formulary development, and ensure clinical and regulatory compliance.
Requirements & Qualifications
Required Education
- Doctor of Pharmacy (PharmD) degree from an ACPE-accredited college
Required Experience
- 3–5 years of recent experience as a senior or lead pharmacist, preferably in a PBM or health plan setting
- Experience with Medicare Part D highly preferred
- Experience using clinical resources such as Micromedex, Lexicomp, and Clinical Pharmacology
Licensure / Certification
- Registered and in good standing with the Board of Registration in Pharmacy
- Active, non-restricted pharmacist license
Skills and Qualifications
- Strong clinical review competency
- Deep knowledge of pharmaceutical science, managed care, and policy development
- Working knowledge of state and federal controlled substances laws, rules, and regulations
- Strong analytical skills for program implementation, maintenance, and enhancement
- Ability to analyze prescribing trends and drug utilization patterns
- Excellent oral and written communication skills
- Self-motivated and able to work independently with minimal supervision
- Ability to manage multiple projects and shifting priorities
- Ability to identify emergency situations and follow proper protocol
- Strong PC skills, including Microsoft Word, Excel, Access, and PowerPoint
Benefits & Perks
Company Highlights
- Competitive benefits
- Strong focus on employee wellness
- Support for employee growth
- Collaborative and innovative workplace culture
- Opportunity to work on advanced healthcare automation and pharmacy benefit solutions
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$125,000 - $160,000
Remote work allowed
No
Posted
2 months ago