Quartz Health Solutions

Clinical Pharmacist

Quartz Health Solutions  •  $117k - $146k/yr  •  Madison, WI (Onsite)  •  3 hours ago
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Job Description

Are you a dedicated Clinical Pharmacist looking to make a broader impact on patient care? Do you thrive in a collaborative environment where your expertise helps shape medication management strategies and improve health outcomes on a large scale? If so, we have the perfect opportunity for you!

Quartz is committed to driving innovation in healthcare with our values to enhance the well-being of our members by ensuring safe, effective, and affordable medication use. As part of our dynamic pharmacy team, you will have the opportunity to develop, implement, and manage medication use policies and the formulary, participate in day-to-day operational aspects of managing benefits, provide support to various departments within Quartz and provide direct supervision to the Pharmacy Program specialists.

Benefits:

  • Rare pharmacist position that is primarily Monday – Friday during business hours with limited evening or weekend requirements.
  • Opportunity to impact healthcare outcomes and cost for large populations through policy and program development and implementation.
  • Starting salary range based upon skills and experience: $116,800 - $146,000 annually + total rewards package

Responsibilities

  • Participate in the development, implementation, and measurement of clinical practice guidelines and quality programs, including drug-based (prescribing) guidelines, and disease-state-based guidelines.
  • Conduct analysis of medications for Quartz Drug Formulary to include critical evaluation of drug literature and FDA data, consultation with experts, consensus building amongst practitioners, analysis of impact on relevant populations, consideration of utilization management tools available and incorporation of economic data.
  • Participate in the development, implementation, maintenance and monitoring of initiatives to improve medication use by members, quality measures, and clinical outcomes.
  • Confirm compliance of pharmacy benefit management activities with appropriate regulatory (state insurance regulators, CMS) and accreditation (NCQA) organizations
  • Evaluate medication exception requests for coverage of non-formulary or restricted medications and make decisions based on the patient’s clinical situation, relevant policies and the patient’s specific benefits.
  • Lead the measurement/monitoring of internal and external quality metrics for medication use and related quality improvement initiatives as necessary.

Qualifications

  • Completion of an ASHP Accredited Residency training program, advanced degree in related field (MS, MBA, etc.)
  • Bachelor’s degree in pharmacy or a PharmD degree.
  • 5+ years of pharmacy clinical patient care, managed care, pharmacy benefit management environment.
  • 3+ years of institutional experience (hospital or integrated health system) or completion of an ASHP accredited residency training program
  • Ability to learn computer and application skills as applicable to role.
  • Comfortably accepting responsibility for medium to large scale projects involving multiple resources and spanning many months from start to finish.
  • Ability to interact and work around people, effective communication skills, and listen empathetically
  • Ability to react to frequent changes in duties and volume of work
  • Ability to make judgements in demanding situations
  • Ability to logically organize details
  • Licensed or eligible for licensure to practice pharmacy in the applicable state.

Quartz offers an excellent benefit and compensation package, opportunity for career advancement and a professional culture built upon the foundations of Respect, Responsibility, Relationships, and Resourcefulness. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Quartz Health Solutions

About Quartz Health Solutions

We believe that the health insurance industry should do far more than just provide access to doctors and cover or administer claims. We believe health care plans should help people live healthier. Which is exactly what makes us different. As a health plan management and administrative services company, we’re leading the charge on everything from expanding network physician and provider options to creating innovative approaches to wellness, prevention and community well-being. That’s because at Quartz, we’re a company committed to good health.

Beginning in mid-2017, Gundersen Health Plan, Unity Health Insurance and Physicians Plus joined forces under the Quartz brand name, with Advocate Aurora Health joining us in 2021. Together, we provide our members with high-quality service and affordable coverage.

We manage services for those health insurance plans as well as provide administrative services for self-funded health plans as Quartz ASO, while serving 350,000+ customers who live in southern, eastern and western Wisconsin, parts of Illinois, Iowa, and Minnesota from offices located in Onalaska and Fitchburg, Wisconsin.

For more information visit: QuartzBenefits.com.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Fitchburg, Wisconsin
Year Founded
2016
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