Soliant Health is offering a permanent position for a Clinical Operations Manager with a fast growing PBM in New York!
Position Responsibilities: Develop and maintain programs including formulary development, utilization management, and disease management programs Develop and design specialty medication clinical edits Provide oversight of clinical programs developed by third party vendors Serve as the subject matter expert for clinical programs Provide support to operational teams during implementation of a new plan Collaborate with internal teams to develop member and provider program material Participate in the Coverage Determination (Prior Authorization, Medical Exception, Exception to Coverage, etc.) process Analyze and interpret prescription claims data to identify opportunities to improve existing programs and develop innovative programs Support RFI and RFP submissions Support general business needs and operations, as required
Qualifications: Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance Residency/fellowship preferred At least three (3) years of pharmacy experience working for a health plan or PBM as a clinical pharmacist Knowledge of highly managed specialty medications/strategy, formulary development and maintenance process, and pharmacy vs. medical medications Proficient in Microsoft office Suite with emphasis on Microsoft Excel Experience working with large data-sets preferred Ability to balance multiple complex projects simultaneously Exceptional written and verbal communication skills Extremely flexible, highly organized, and able to shift priorities easily Attention to detail & commitment to delivering high quality work product Ability to travel
For more details contact:
email@example.com / call 561-712-5572 / text 404-457-0988
Equal Opportunity Employer Minorities/Women/Veterans/Disabled