[Remote] Senior Clinical Pharmacist - Medicare Formulary Strategy

Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is seeking a Senior Clinical Pharmacist in Medicare Formulary Strategy. In this critical role, you will plan, coordinate and manage the clinical delivery of pharmaceutical benefits and services to Blue Cross NC subscribers, collaborating with Medical Directors and managing various clinical programs. Responsibilities • Develop and implement clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes • Develop, analyze, report on clinical programs, manage and coordinate between Health Care Management and Health Care Services Development to optimize BCBSNC long-term access to high-quality, cost-efficient pharmacy providers • Analyze, document, and report pharmacy project performance results relative to clinical indicators • Manage and support Academic Detailing programs and conducts site visits as necessary. Participate in education of provider network • Develop, implement and manage managed care programs such as prior authorization and quantity limitations programs in order to meet Plan goals • Ensure clinical compliance with law and regulatory bodies and represent pharmacy programs before review bodies such as the North Carolina Department of Insurance and the National Committee for Quality Assurance. Develop and maintain formulary compliance programs • Develop educational materials, newsletters, member and provider talking points and disseminate clinical information for both internal and external audiences • Pursue active membership in professional organizations and seek continual professional development in an effort to identify industry trends and best practices and innovative solutions to current and emerging industry challenges • Manage the requirements for the organization’s participation in Medicare Part D Skills • Bachelor's degree or advanced degree • 5+ years of experience in related field • In lieu of degree, 7+ years of experience in related field • Licensed pharmacist or eligible for licensure in North Carolina Benefits • Medical, dental, and vision coverage along with numerous health and wellness programs • Parental leave and support plus adoption and surrogacy assistance • Career development programs and tuition reimbursement for continued education • 401k match including an annual company contribution Company Overview • It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. It was founded in 1933, and is headquartered in Durham, North Carolina, USA, with a workforce of 5001-10000 employees. Its website is Apply tot his job