Senior Clinical Pharmacy Specialist *Remote*

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. 

 

Providence Health Plan is calling a Senior Clinical Pharmacy Specialist who will:

• Serve as an expert in medication utilization and pharmacy therapeutic, utilization and economic data
• Collaborate with analytics, nurse case managers, medical directors, network physicians and senior pharmacy leadership in identifying, developing and leading execution of key strategies and tactics to support total cost of pharmaceutical care and population health
• Apply therapeutic knowledge and analytic acumen to collaborate with analytics and care management programs to lead tactical development and execution of cost-effective, high quality and clinically relevant pharmacy programs and services
• Provide pharmacy and medical trend insights while analyzing opportunities to optimize formulary, utilization management, innovative pricing and emerging rebate opportunities
• Conduct clinical and analytical evaluations of medication pipeline, supporting clinical policy development and application for our populations and clients
• Develop and execute customized solutions for clients and groups that is meaningful and market differentiating in high quality, total cost of care driven for members
• Support pharmacy rebate and network programs through pricing and contracting strategies 
• Research and explain clinical and business aspects of drugs and associated strategies to internal business partners
• Contribute and participate in clinical and/or financial meetings that manage drug and class review, supporting RFP development, group proposals and reviews, Pharmacy & Therapeutics Committee, and physician engagement and prescribing detailing

Providence Health Plan welcomes 100% remote work for applicants who reside in one of the following States: 

• Washington
• Oregon

Please note the following important detail regarding this role: 

• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon

Required qualifications for this position include:

• Education:
  • Pharm D: Graduate from an accredited College or School of Pharmacy -OR-
  • Bachelor's Degree in Pharmacy & 5+ years of managed care experience working with the following areas: -OR-
    • Documenting responsibility for evidence and clinical case review 
    • Directly consulting medication information with physicians and/or patients 
  • Master's Degree in Pharmacy & 5+ years of managed care experience working with the following areas: 
    • Documenting responsibility for evidence and clinical case review 
    • Directly consulting medication information with physicians and/or patients
• Completion of a PGY-1 Residency
• Additional Education, Training / experience:
  • Completed: PGY-2: Pharmacy Outcomes
  • Completed: PGY-2: Healthcare Analytics
  • Completed: 3+ Years of experience in pharmacy outcomes and healthcare analytics documenting responsibility for utilizing pharmacy data that supports trend management, pharmacoeconomic evaluations and initiative / program development and execution
• Licensure:
  • Oregon Pharmacist License
• Other Experience:
  • Experience in writing, including research protocols, medical papers for publication, and educational pieces for patients and healthcare providers
  • Experience reviewing medication evidence and clinical policy development
  • Experience working in programs and services that support population health management
  • Advanced skill set in Microsoft Applications, inclusive of pivot tables
  • Experience retrieving data and conducting data driven analyses, coupled with applied therapeutics
  • Experience utilizing various analytics tools, software and techniques
  • Experience presenting findings and recommendations to broader audience, including senior leaders
  • Hands-on experience with SQL queries

Preferred qualifications for this position include:

• Washington Pharmacist Licensure
• Oregon / Washington Dual Pharmacist Licensure
• Intermediate or higher level skillset in Mic