Providence Health & Services Beaverton , OR 97075
Posted 1 week ago
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:
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 Microsoft Applications
Intermediate or higher level skillset with Pivot Tables
Why Join Providence Health Plan?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Providence Health & Services