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Role Description

This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include:

• Formulary management
• Assisting with management of specific patients in the multidisciplinary case management/medication therapy management program
• Developing and conducting educational initiatives to improve prescribing patterns
• Developing and conducting quality improvement programs related to the pharmacy program
• Evaluating medication authorization requests and providing oversight to the medication PA process
• Other pharmacy program activities as assigned

NOTE: This is a temporary position expected to last 9 months.

Estimated Hiring Range: $151,965.00 - $185,735.00

Bonus Target: Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Qualifications

• Graduate of an accredited pharmacy program
• Current, unrestricted license as a pharmacist in Oregon
• Advanced pharmacy training (PharmD, residency, fellowship, or master’s degree in related discipline)
• Practical experience as a clinical pharmacist in formulary management or ambulatory care or other clinical setting

Requirements

• Previous experience in managed care (preferred)
• Experience with reviewing Prior Authorization requests against plan criteria and making approval or decline decisions (preferred)

Knowledge, Skills and Abilities Required

• Comprehensive clinical pharmaceutical knowledge base
• Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
• Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine
• Ability to design and review pharmacy claims analysis/reports according to specific project requirements
• Highly motivated with the ability to work independently
• Excellent organizational, project management, and time-management skills
• Excellent written and verbal communication skills
• Excellent customer service skills
• Ability to manage multiple tasks
• Ability to negotiate, problem-solve, and consensus-build
• Basic word processing, spreadsheet, and database skills
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to lift and carry for at least 1-3 hours/day

Working Conditions

• Work Environment(s): Indoor/Office
• Member/Patient Facing: No
• Hazards: May include, but not limited to, physical and ergonomic hazards
• Equipment: General office equipment
• Travel: May include occasional required or optional travel outside of the workplace
• Work Location: Work from home

Benefits

• Competitive pay
• Bonus opportunity
• Comprehensive benefits package including medical, dental, vision, life, AD&D, and disability insurance
• Health savings account, flexible spending account(s), lifestyle spending account
• Employee assistance program, wellness program, discounts, and multiple supplemental benefits
• Strong retirement plan with employer contributions
• PTO and Paid State Sick Time based on hours worked/scheduled hours
• Paid holidays, volunteer time, jury duty, bereavement leave, and more depending on eligibility
• 401(k) contributions for non-benefits eligible employees

Company Description

CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job-related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.