Clinical Formulary Pharmacist
Current-Responsible for maintaining clinically sound and cost-effective formularies across multiple states-Lead formulary operations related to weekly drug file updates, ad hoc configuration changes, and quarterly Pharmacy and Therapeutics Committee decisions, including all applicable regulatory requirements pertaining to member and provider notification.-Collaborate with state agencies, analytics, finance, government affairs, pharmacy benefit manager, and other cross-functional… Show more -Responsible for maintaining clinically sound and cost-effective formularies across multiple states-Lead formulary operations related to weekly drug file updates, ad hoc configuration changes, and quarterly Pharmacy and Therapeutics Committee decisions, including all applicable regulatory requirements pertaining to member and provider notification.-Collaborate with state agencies, analytics, finance, government affairs, pharmacy benefit manager, and other cross-functional areas to ensure compliant implementation and maintenance of all formularies-Responds to internal/external audits and surveys related to formulary functions, and develops corrective actions or process improvements, including documentation of required activities-Subject matter expert on all regulatory requirements related to drug formularies and pharmacy operations-Performs oversight of vendor activities related to business functions and operations-Defines and enhances business requirements to support efficient formulary submissions, reporting, external member/provider communication and web publishing-Support the Molina Health Plan pharmacy executives to ensure they have analysis-based justification for the launch/continuation of pharmacy cost management strategic initiatives-Analyze dashboards/reports to support effective tracking of performance and outcomes in connection with pharmacy cost management strategies Show less