Pharmacist, Pharmacy Benefit Management (PBM) Clinical Strategy
Company Bio: Founded by industry pioneers, SlateRx provides simple and affordable pharmacy benefit programs to employer groups, unions, public sector groups, health systems, and other payers throughout the United States. As the industry’s only PBXTM, SlateRx is creating real value for plan sponsors on day one through purchasing scale and continued management via innovation and transparency. Our model is designed to improve an out-of-touch healthcare model to make pharmacy benefits simple and affordable for plan sponsors and members. Job Overview: As the Clinical Strategy Pharmacist, you will play a pivotal role in shaping the client experience and clinical program strategies for our organization. Leveraging your expertise in quality of care while controlling or decreasing overall healthcare costs, you will provide, recommend, implement, and evaluate clinical programs and services for our clients. Collaborating closely with cross-functional teams, you will interact with clients to translate clinical information into a format appropriate for both clinical and non-clinical audiences. You will drive the success of our organization, enhance member health outcomes, and support ongoing organizational growth. Responsibilities: As the Clinical Strategy Pharmacist, your key responsibilities will include: Clinical Strategy and Management: Regularly evaluate pharmaceutical products and the new drug pipeline for clinical efficacy, safety, and cost-effectiveness to inform formulary decisions. Monitor and assess emerging therapies, clinical guidelines, and treatment trends to inform strategic program development. Support Pharmacy and Therapeutics (P&T) Committee meetings. Provide clinical oversight and administration of clinical programs and services provided by SlateRx. Provide ongoing evaluation of clinical programs and services to key stakeholders. Collaborate with clinical operations and analytics teams to evaluate program performance and identify opportunities for enhancement. Benefit Design and Optimization: Consult on plan/benefit design recommendations during new client implementation. Develop and implement a clinical plan that meets the goals and objectives of the client. Analyze member demographics, healthcare utilization patterns, and cost projections to recommend appropriate benefit design updates to clients to improve healthcare and/or cost control. Data Analysis and Reporting: Generate reports and presentations to communicate insights and recommendations to key stakeholders and clients. Utilize data analytics to assess the impact of clinical programs and strategies on member health outcomes and plan performance. Identify high-impact opportunities for targeted clinical outreach, risk reduction, and cost savings. Performs miscellaneous job-related duties as assigned. Qualifications: To excel in this role, you should possess the following qualifications: Minimum of 2 years of managed care experience, including a strong understanding of provider, health plan, employer, and member dynamics. Extensive experience in formulary management, clinical program design, benefit plan design, or pharmaceutical industry roles. In-depth knowledge of pharmacy benefit management, pharmaceutical pricing, and pharmacy regulatory requirements. Proficiency in MS Word, Excel and PowerPoint including use of tables, charts and figures is desirable Proficiency required in interpreting drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Internet evaluation). Strong analytical skills with the ability to interpret complex healthcare data to inform strategic decision-making. Excellent leadership, communication, and presentation skills. Ability to adapt to a dynamic and fast-paced environment. Education: Bachelor's degree or Pharm.D. or relevant experience. License Requirement: Current, valid, and unrestricted clinical license is required. Job Benefits: Health, Dental, Vision, Life, 401k, Paid Time Off. Location: Remote Apply To This Job