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Blue Shield of California · 1 day ago

Pharmacist, Principal - Formulary and Pharmacy & Therapeutics

Long Beach, CA, United States

Full-time

Hybrid

Senior Level, Lead/Staff

$165K/yr - $247K/yr

4+ years exp

Blue Shield of California is a healthcare organization focused on transforming health care to be affordable and of high quality. The Pharmacist, Principal will lead formulary development and provide clinical support by analyzing clinical evidence and collaborating with stakeholders to ensure cost-effective drug management.

Financial ServicesHealth InsuranceNon Profit

No H1B

Responsibilities

Facilitate formulary development and provide P&T clinical support based on scientific evidence and standards of practice, including assessing peer-reviewed literature, pharmacoeconomic studies, outcomes research data [e.g. comparative effectiveness research (CER)], and budget impact assessments

Collaborate with the analytics team to develop pharmacoeconomic analyses and complete outcomes research and make recommendations to management and P&T to support cost effective formulary management

Develop and analyze prescription drug and medical claims data reports to identify opportunities to improve quality and cost-effective use of drugs

Regularly assess the medical evidence to ensure medications are utilized appropriately through the annual medication review process

Collaborate with management and cross-functional teams to create a plan for maintaining development and implementation of a value-based formulary design, including P&T process changes to support value-based formulary decisions

Prepare client-facing clinical summaries supporting documentation and reports

Lead communication efforts about clinical value propositions across therapeutic areas

Perform retrospective data analysis and healthcare cost analysis for formulary decision and formulary maintenance to manage cost of healthcare

Conduct presentations at formulary meetings, P&T committees, and drug utilization review (DUR) meetings

Work independently and collaboratively with multidisciplinary/cross-functional teams with minimal oversight and direction from the Manager

Qualification

PharmD degreeCalifornia RPh licenseClinical pharmacy experienceManaged care experienceClinical knowledgeAnalytical skillsMicrosoft Office proficiencyLeadership skillsOral communicationWritten communicationPresentation skillsProblem-solving skillsProject management