Pharmacist

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The Role
The Clinical Pharmacist- Commercial is primarily responsible for oversight/support of the formulary offerings, utilization management protocols, and related clinical programs.

This role leverages clinical expertise and a strong understanding of managed care to develop, implement, and administer formulary and clinical management strategies to support clinical and financial goals. This pharmacist also serves as the Subject Matter Expert and primary point of contact for these functions within the company.

The Team
As an integral part of the Pharmacy department, the Clinical Pharmacist collaborates within the broader Pharmacy team, with our PBM, within the HMM division, and cross-functionally with Sales, Underwriting, Actuarial, Product, and others.

Key Responsibilities:

• Actively lead or participate in the strategic planning, development, and implementation of clinically appropriate and cost-effective programs to help control trend and drive positive clinical outcomes. This includes tracking drug pipeline activity to proactively identify clinical management opportunities.
• Collaborate with other business areas to effectively implement and support ongoing maintenance of clinical strategies including communications, drug lists, online drug look-up tools, and related marketing collateral.
• Provide ongoing evaluation of clinical programs and initiatives to ensure objectives are met.
• Serve as the Subject Matter Expert and primary point of contact for formulary and clinical programs; assist with ad hoc clinically focused requests from internal business areas, providers, accounts, and members.
• Support corporate innovation initiatives with external partners such as Evio as needed.

Key Qualifications:

• Excellent written and oral communication skills including ability to present to senior leaders and to external audiences
• Strong interpersonal skills with demonstrated ability to establish and maintain positive, effective working relationships with staff, internal, and external customers
• Superb organizational and time management skills, ability to work independently and effectively prioritize multiple projects and assignments
• Demonstrated strength in analysis, identification of problems, and issue resolution
• Excellent skills in teamwork and team approaches to goal setting and attainment, results oriented

Education and Experience:

• Minimum of professional Registered Pharmacist degree required.  Graduate study in business, public health, or health policy fields will be favorably considered.
• Unrestricted current and valid license to practice pharmacy in the state of Massachusetts
• Experience in a managed care setting, either from the provider, the payer, or the PBM side of the industry, is required.
• 2-5 years prior pharmacy management experience preferred

This position is eligible for the Flex persona.

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

Location

Hingham

Time Type

Full time

Salary Range: $118,000.00 - $147,290.00

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note:  No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and