PMB Clinical Operations Manager Job Opportunity- Full Time

New York, New York Posted 14 days ago

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Category Pharmacy - Pharmacy Manager
Job Type Contract

We are currently seekin a PBM Clincial Operations Manager for a health care facility in New York City. Contact Dwane.Hughes@soliant.com

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 Capital Rx’s suite of 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 / Profile:

  • 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
  • Apply Now
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    Equal Opportunity Employer Minorities/Women/Veterans/Disabled

    Soliant is a Proud Sponsor of Team USA
    • Competitive Salary
    • Weekly Paycheck
    • Matching 401(k) Plan
    • Extensive Medical Coverage
    • Licensing Assistance
    • Custom Housing
    • Travel Assistance
    • Professional Development Reimbursement