[Hiring] Clinical Pharmacist @Sagility

Role Description

The US based Clinical Pharmacist serves as a client-facing and internal clinical resource on data-driven, evidence-based pharmacy strategies to support sustainable drug cost management for large and midmarket national accounts. This is a part-time position, approximately 20 hours per week.

• Serve as the primary clinical subject matter expert supporting external client interactions, including utilization reviews, strategic discussions, and finalist presentations.
• Provide ongoing clinical consultation to external clients and internal stakeholders on emerging pharmacy trends, therapeutic advancements, and formulary strategy.
• Act as a clinical consultant for internal sales team to foster strong partnerships that enhance client value and experience.
• Partner closely with consultant teams to provide a unified, consultative experience for clients, ensuring alignment between clinical pharmacy strategy and account priorities.
• Assist with development and delivery of client-facing presentations that clearly communicate pharmacy utilization trends, market insights, clinical program performance, pharmacy strategy, and strategic recommendations.
• Review and analyze account-specific pharmacy utilization, trend data, and overall performance of formularies and/or utilization management to identify opportunities to improve clinical outcomes and cost efficiency.
• Evaluate the impact of clinical programs and recommend modifications based on performance insights and evolving standards of care.
• Work collaboratively with vendors, PBMs, accounts, and internal parties for oversight of clinical programs and performance management.
• Participate in the new pharmacy business process including serving as a clinical pharmacy resource for review of written RFP responses and presenting at finalist meetings.
• Contribute clinical expertise to strategic discussions supporting new and existing business opportunities.
• Monitor and synthesize pharmacy market developments, including new drug approvals, pipeline trends, and competitor strategies, and translate these market insights into practical recommendations that help inform client strategy and decision-making.
• Provide training and work with offshore pharmacists in helping them build expertise.

Qualifications

• Doctor of Pharmacy (PharmD) or Master’s Degree in Pharmacy for Registered Pharmacist (RPh).
• PharmD - Licensed Pharmacist or Active Registered Pharmacist in any state.
• 8-10 years’ experience in clinical pharmacy, preferably in a managed care environment (PBM or health plan), and clinical consulting/sales environment with good knowledge of emerging Pharma markets.
• Deep experience working in healthcare industry with a thorough understanding of prescription benefit management programs and practices.
• Experience working on multiple different Prior auth workflow systems.
• Experience in account management/sales showcasing expertise in Part D and Part B drugs.
• Knowledge of Medicare Advantage, Medicare, Commercial, Marketplace, and Medicaid lines of business.

Requirements

• Ability to work independently, as well as a member of a team.
• Strong critical reasoning skills in clinical decision-making, planning, and organizing.
• Current knowledge of clinical practices and related UM systems, information systems, and computer applications.
• A strong balance between clinical expertise and business acumen.
• Strong interpersonal, written, and verbal communication skills, including presentation skills.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
• Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be challenging.

Preferred Qualifications

• Demonstrated experience in clinical research, technical writing and publishing, a clinical specialty, claims management, or health care policy.
• Basic understanding of software development phases/life cycles.
• Project management skills.
• Six Sigma skills.
• Knowledge of NCQA and URAC accreditation.

Company Description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.