The Clinical Pharmacist is responsible for daily clinical pharmacy operations and decision-making related to Part D coverage determinations and formulary management.
This role supports the development, administration, and oversight of the Health Plan’s Medicare Prescription Drug Program, including compliance with Medicare Part D laws, regulations, and reporting requirements. The position also contributes to benefit configuration, drug reviews for Pharmacy & Therapeutics Committee meetings, utilization management, and cost-saving initiatives.
The Clinical Pharmacist works closely with internal teams and external partners to support formulary changes, medication reviews, educational efforts, and pharmacy benefit optimization.
Qualifications
- Managed care experience preferred, but not required
- Experience with Part D coverage determinations preferred, but not required
- Experience with Part D formulary management preferred, but not required
- HPMS Formulary Reference File (FRF) submission experience preferred, but not required
- Strong computer skills, including Microsoft Office (Outlook, Word, Excel, PowerPoint, Access)
- Programming or reporting software skills
- Strong communication and presentation skills
- Doctor of Pharmacy (PharmD) degree, or Bachelor of Pharmacy (RPh) with clinical experience, or completion of / current enrollment in a residency program (PGY1) in managed care pharmacy or pharmacy practice
- Current and unrestricted Florida pharmacy license
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago