Clinical Pharmacist – PBM (Pharmacy Benefit Management)

Required Experience:
Clinical Pharmacy experience with PBM (or equivalent) and a current Pharmacist license.
LOCATION: Sacramento , CA
DESCRIPTION:

Clinical Pharmacist for an Inc. Fastest Growing specialty company in the PBM Space (Pharmacy Benefit Management).

In this role, you will engage in and provide expertise in various pharmacy benefit management (PBM) activities which include, utilization management, prior authorization reviews, benefit design, and clinical account management. The pharmacist should have a solid understanding of disease states and conditions to provide clinical decision making during the review process and have strong communication skills to support the sales team in presenting clinical programs and initiatives to potential clients.

This position is open due to expansion– it’s a brand new expansion role for the company.

To be considered, you must have Clinical Pharmacy experience with PBM (or equivalent) and a current Pharmacist license. 

  • 8x Inc 5000 Fastest Growing Company.
  • Funding: received substantial investment from leading middle-market private equity firm (2018).
  • PBM sales team set to double in 2020.
  • 103% growth over 3 years with 10 years of established business history.
  • Opportunity for rapid promotion.
  • REMOTE role- Work from Home.

Compensation and Benefits:

  • Salary: $140,000-$175,000 + (Final salary is per employer discretion and commensurate with experience) plus additional incentive compensation
  • Full benefits (100% of health insurance is paid for the employee by the company).
  • Profit-sharing. 
  • 401k, FSA, Tuition Reimbursement.

Hardest part of the job? The company is in hyper-growth mode.  The person in this role needs to be flexible and a thought leader for the company, as well as a team player.

REQUIREMENTS:

 

  • Minimum of 3 years of Clinical pharmacy experience with PBM or equivalent experience preferred. Preference is given to a current Pharmacist at a Medical Group or Health Plan.
  • Current Pharmacist License required.
  • PharmD.
  • Good understanding of contemporary health system services and define enterprise pharmacy service needs (e.g. MTM and patient management, population for specialty focus, etc.) and see these services through to implementation.
  • Must have experience working with prior authorization claims
  • Strong conceptual, as well as quantitative and qualitative, analytical skills.
  • Ability to troubleshoot data, analyaze complex data sets and present to clients as well as board of directors
  • Experience leading a clinical program
  • Ability to effectively interface and collaborate with health system, pharmacy, and third-party payor department directors.
  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously.
  • Self-motivator with ability to work independently.
  • Plan, direct, and coordinate work activities of others.

 

DETAILS:
Base Pay: 140,000 To: 175,000
Average 1st Year Commissions: Salary can go higher for right experience, plus incentives
Other Pay: Full benefits, 401k, profit sharing, FSA, etc.
Travel: no