Job Description

PRINCIPLE RESPONSIBILITIES

• Provide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.
• Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice.
• Advise the Client Services/Sales team on pharmacy drug utilization review (DUR) issues.
• Serve as Clinical Liaison with Client Services Implementation team.
• Participate on quarterly Pharmacy & Therapeutics Review Committee.
• Develop and/or implement clinical pharmacy programs in collaboration with client retention initiatives.
• Coordinate all efforts related Plan/Patient Assistance programs related to client management.
• Maintain professional and technical knowledge by conducting research and by attending educational and technological workshops.
• Provide supportive clinical/data information for Quoting/Analytics division.
• Generate reporting on performance metrics related to client savings etc.
• Assist with pharmacy claim audits as needed.

• Duties as assigned.

REQUIREMENTS

• Bachelor’s degree in pharmacy from an accredited college of pharmacy.
• Advanced education in pharmacy (Pharm D) a plus.
• Minimum five years’ experience in retail or hospital pharmacy.
• Clinical pharmacy experience in managed healthcare preferred.
• Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, pharmacies and plan members.
• Proficient PC skills in Windows-based applications.
• Highly organized with strong attention to detail and the ability to manage multiple priorities.
• Ability to be flexible and quickly adapt to the changing needs in the department.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
• Time to Recharge: Paid vacation and holiday pay.
• Focus on Your Wellness: We offer a robust Employee Wellness Program.
• Invest in Your Future: 401 k with a company match.
• Support System: Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People: Employee referral program.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at HumanResources@procarerx.com

ProCare Rx is an Equal Opportunity Employer.