Pharmacist

Overview

Join a dynamic and forward-thinking health plan organization dedicated to revolutionizing healthcare delivery! We are at the forefront of healthcare innovation, integrating cutting-edge technology and patient-centered care to improve health outcomes and enhance the quality of life for our members. If you're a passionate pharmacist eager to make a meaningful impact, this is the opportunity for you.

Quartz is seeking a visionary and dedicated Pharmacist to join our team. In this role, you will implement and manage operational policies and procedures documents, participate in day-to-day operational aspects of managing benefits, and providing support to various departments within Quartz. Also, this position will ensure patient care is maintained through compliance with the department's policies, rules and regulations promulgated by the Board of Pharmacy, and other applicable regulatory bodies.

Benefits:

• Unique pharmacy practice setting that allows staff to develop and use a variety of skills and experience

• 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.

• Opportunity to work a in person, hybrid, or remote work environment

• Starting salary range based upon skills and experience: $116,800 - $146,000 annually + total rewards package

Responsibilities

• Participate in process to evaluate medication exception requests for coverage of restricted medications and make decisions based on the patient's clinical situation, relevant policies, and the patient's specific benefits, in accordance with CMS and NCQA timeliness standards.

• Ensure compliance of pharmacy benefit management activities with appropriate regulatory (state insurance regulators, CMS) and accreditation (NCQA) organizations

• Provide formulary operations support that includes drug file reviews, P&T process support, submissions, testing, web posting, etc.

• Analyze 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.

• Develop, implement, and measure clinical practice guidelines and quality programs, including drug-based (prescribing) guidelines, and disease-state-based guidelines.

• Develop, implement, maintain and monitor drug policies related to the coverage of medications for Quartz. This includes the use of all tools available for drug policy management, such formulary designation, step therapy, formulary restriction, etc.

• Implements, QAs and monitors drug policy and benefits changes for pharmacy benefits and medical benefits working with Quartz's claims processor(s) and other necessary vendors.

Qualifications

• Bachelor's degree in Pharmacy or a PharmD degree.

• Completion of an ASHP Accredited Residency training program, preferred.

• Licensed or eligible for licensure to practice pharmacy in WI, IL, MN or IA is required.

• 2+ years of Pharmacy practice experience.

• Health plan or pharmacy benefit management experience.

• Ability to learn computer and application skills as applicable to role.

• 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.

• Ability to manage multiple concurrent activities.

This position can work 100% remotely or from our office in Madison or Onalaska, WI in a hybrid or full-time on-site arrangement, if preferred. Based upon candidate qualifications, in-person training at our Madison, WI office may be required. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. 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.