Job Profile Summary
Position Purpose: Define and develop standard and custom formularies for assigned plan.

Education/Experience: Bachelor’s degree or advanced degree (, in pharmacy. + years of mail order, retail, hospital or managed care pharmacy experience or + years of pharmacy residency program experience.

Licenses/Certifications: Current state’s Pharmacist license with no restrictions.

Responsibilities
• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• Monitor prior authorization requests
• Provide clinical support to internal departments and address clinical related questions
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare
• Develop, implement, and maintain policies and procedures for the phar...