Job description
Overview:
What we offer:
#IDCC
We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.
The Specialty Pharmacy Utilization Director within the Home Infusion Product that will lead and drive the development of specialty and non-specialty drug pipeline strategy and focus on recommendations for market growth. You will support initiatives and partner with cross-functional teams to develop, maintain, and enhance clinical programs.
Responsibilities:
In this role you will:
- Drive drug pipeline management
- Work with partners to procure pipeline information and standardize classification to market standard
- Determine impact of upcoming 6-12 month pipeline to CareCentrix and clients.
- Evaluate clinical aspects of drugs and work with networks & contracting to develop preferred product strategy recommendations, support drug access & other clinical strategy recommendations
- Define reporting & success metrics and implement tracking
- Support other teams with drug pipeline and provide pipeline including support with implementation of strategies
- Assess innovation opportunities against clinical coverage guidelines and identify medical necessity and/or member safety related barriers to bringing innovation to market
- Support the Clinical Policy/Service Management team in development, maintenance of pharmacologic clinical policy guideline tools; provide updates as needed
- Participate in clinical program design and development process, working closely with Business Technology, Clinical Policy/Service Management, Compliance, Clinical Operations, and Network
- Must perform other duties as required or assigned
- Occasional travel is required
You should reach out if you have:
- A Bachelor's Degree in Pharmacy or PharmD (required)
- An active pharmacist license (required)
- Minimum of 7 years’ experience in healthcare industry in a variety of managed care roles and/or with home infusion therapy
- Experience driving research and development of clinical drug strategies
- Experience with speciality pharmacy drugs, therapeutics, formulary management / preferred products
- Understanding of product life-cycle & maintenance
- Knowledge of medical billing & claims systems
- Proficiency in Microsoft Excel, Power-Point, Visio
What we offer:
- Salary Range: $140000 - $155000 / year plus bonus incentives.
- Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
- Bonus Incentives, Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
- Advancement Opportunities, professional skills training, and tuition /exam reimbursement.
- PayActiv - access earned income in between pay checks.
- Great culture with a sense of community.
CareCentrix maintains a drug-free workplace.
#IDCC
We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.
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