Senior Pharmacy Associate - Indianapolis Health

Overview

Milliman’s Indianapolis Health Practice is looking for a Senior Pharmacy Associate to provide support to our internal Medicaid pharmacy consultants and state Medicaid actuarial teams by assisting with analysis and review of pharmacy program changes, drug pricing trends, and managed care efficiencies that are critical in the development of managed care capitation rates. In addition, the Pharmacy Associate will assist our pharmacy consultants to evaluate pharmacy reimbursement, benefit design, performance, and financial oversight of the Medicaid pharmacy program. This position provides excellent opportunities for professional development and advancement.

Responsibilities

In this role, you will leverage clinical and financial pharmacy knowledge to assist with:

• Developing and maintaining drug lists used in analyses and monitoring reports such as new drug approvals, new indications, first-time generics, drug pricing changes, and specialty and high-cost drugs
• Modeling the impact to drug utilization and cost resulting from changes, or proposed changes to preferred drug lists or pharmacy benefit design
• Identifying diagnosis codes relevant to certain clinical conditions or drugs for use in analyses
• Supporting the pharmacy management consultants in diagnosing and solving client problems in Medicaid managed care and fee-for-service settings
• Developing analysis and client deliverables
• Drafting reports and presentations
• Managing internal client relationships within a large matrix organization
• Identifying and proposing opportunities for process efficiencies and improvements
• Supporting the pharmacy management consultants in business development opportunities and proposal writing

Qualifications

• Ability to manage and prioritize concurrent work across multiple projects
• Desire to develop and gain Medicaid pharmacy benefit financing and administration subject matter expertise and work with large pharmacy claims and referential data sets
• Self-motivated and ability to work independently recognizing when to ask questions or escalate issues
• Strong sense of accountability and ensures deadlines are met
• Critical thinking and analytical skills
• Ability to work in Microsoft Office, specifically Excel, PowerPoint and Word
• Attention to detail ensuring accuracy and quality

Required

• Bachelor’s or Doctor of Pharmacy degree
• Active pharmacist license
• 5+ years of professional pharmacy experience

The Team

The Indianapolis Health Practice is strategically structured to serve state Medicaid and other health and human service agencies. Our team consults with state Medicaid agencies advising our clients on pharmacy reimbursement strategies, benefit design, performance, and financial oversight of the pharmacy program. Our services are comprised of performing analyses to conduct comprehensive program reviews to assess the management and performance of the core components in administration of the Medicaid pharmacy benefit. We also provide validation and assessment of claims data quality, reimbursement rate evaluations and strategy, and policy and contracting support. You will work in a matrix environment, learning from seasoned consultants and gaining exposure to projects across a range of states and agency types. As a member of this team, you will observe how we provide comprehensive consulting services which span from many different disciplines and backgrounds including actuarial, policy, finance, pharmacy, and data management, all working together for a common goal to best serve our clients’ needs. We offer challenging projects, expert colleagues, a collaborative environment, and diverse client projects for all employees to work, learn, and grow with our practice.

Location

The person hired for this role will work in a dynamic, hybrid environment, with 2 to 3 days per week of on-site work required in our Indianapolis office on a weekly basis.

Compensation

The salary range for this role is $93,700 - $154,500, depending on a combination of factors, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, location, etc.

Benefits

We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:

• Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges.
• 401(k) Plan - Includes a company matching program and profi