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Clinical Program Management Director - Remote

Company

Prime Therapeutics
Address , Remote
Employment type FULL_TIME
Salary $122,700 - $196,100 a year
Expires 2023-10-15
Posted at 9 months ago
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Program Management Director - Remote
The Clinical Program Management Director is responsible for the overall coordination and leadership of clinical pharmacy programs for their Blue Cross and Blue Shield (BCBS) clients and serves as the primary clinical relationship manager. This role’s responsibilities may include the management of drug formulary, Utilization Management (UM) programs, benefit design strategies, and other drug therapy related products and services offered by Prime. As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services.
Responsibilities
  • Provide consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design recommendations, and other research applications and opportunities beneficial or of interest to the plan
  • May provide work direction to a Clinical Program Manager or Clinical Program Specialist
  • Coordinate efforts with Prime’s Pharmaceutical Trade Relations team when developing programs and relationships with pharmaceutical companies
  • Coordinate and lead the development, maintenance, and implementation of client specific clinical pharmacy programs in tandem with key internal business partners; programs may include clinical portions of internal and external client planning documents and/or UM program implementations and formulary management (planning P&T agenda and client recommendations, maintenance of formulary information in provider and member materials/communications, distribution of formulary publications/communications)
  • Establish a relationship with the client’s clinical stakeholders through representation of Prime on the client’s internal committees addressing drug therapy, medical, and clinical pharmacy benefit management related issues
  • Manage incoming requests for information from the plan regarding drug therapy, formulary and clinical program related issues and partner with reporting and analytics team to present meaningful information back to the client
  • Other duties as assigned
  • Provide clinical guidance and support for client’s Health Insurance Marketplace business
  • Present Prime’s products, services and recommendations to internal and external stakeholders and work in cooperation with Prime’s operational teams to coordinate and lead client specific custom clinical pharmacy programs
Minimum Qualifications
  • Current pharmacist license in good standing with State Board of Pharmacy in the State where the position is located
  • 7 years of related work, educational, and/or resident experience to include at least 5 years of experience in managed care or clinical pharmacy
  • Must be eligible to work in the United States without need for work visa or residency sponsorship
  • PharmD or Bachelor of Science Pharmacy degree
Additional Qualifications
  • Ability to anticipate needs and plan work independently
  • Demonstrated ability to problem solve through complex situations
  • Expert negotiation and influencing skills
  • Ability to establish rapport and build relationships at all levels within an organization
  • Works effectively across functions, disciplines and/or other groups
  • Exceptional written and verbal communication skills
Preferred Qualifications
  • PBM Experience
  • 1 year of management/people leadership experience
Minimum Physical Job Requirements
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
  • Occasionally required to stand, walk and stoop, kneel, and crouch
  • Ability to travel up to 20% of the time
  • Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
  • Constantly required to sit, use hands to handle or feel, talk and hear
  • Frequently required to reach with hands and arms
Reporting Structure
  • Reports to Sr Director or VP in the Clinical Program Management department
Potential pay for this position ranges from $122,700.00 - $196,100.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.