Associate Director, Formulary Management at Clinical Consulting Solutions – River Falls, Wisconsin

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!

Position Responsibilities:

• Oversee the development and maintenance of custom formularies for all non-Medicare lines of business including Commercial, Medicaid, and Health Information Marketplace/Exchange
• Monitor and analyze regulatory and legislative requirements, develop project plans to meet requirements, and lead cross functional teams to implement programs to meet requirements
• Oversee the implementation and maintenance of custom and standard formularies
• Supports relationship with external partners/vendors (P&T, rebate aggregator, formulary management tool, etc.)
• Facilitate communication to and education of clients, members, and internal staff regarding clinical issues and objectives
• Supervise and coach direct reports in the performance of their duties including performance reviews and feedback to direct reports
• Develop clinical criteria for review of non-formulary or non-preferred drug lists and communicate recommendations to clients
• Evaluate drugs/drug classes and make formulary positioning and utilization management recommendations and formulary management strategies
• Provide support to operational teams and clients during implementation
• Analyze and interpret prescription claims data to identify opportunities to improve existing formulary management strategies
• Supports quality improvement and clinical value projects, as required
• Support Pharmacy and Therapeutics (P&T) committee items, as required
• Support RFI and RFP submissions, as required
• Support general business needs and operations, as required
• Responsible for adherence to the company Code of Conduct including reporting of noncompliance.

Qualifications/Profile:

• Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance
• Current, unrestricted registered pharmacist license(s)
• Residency/fellowship preferred
• 6-8 years of pharmacy experience working for a health plan or PBM
• Knowledge of highly managed specialty medications/strategy, formulary development and maintenance process, and pharmacy vs. medical medications
• Proficient in Microsoft Office with emphasis on Microsoft Excel and Microsoft PowerPoint
• Experience working with large datasets 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