[Hiring] Pharmacist @Oregon Health & Science University

Role Description

The PBM Pharmacist provides clinical support to OHSU Pharmacy Benefit Management Services. Support includes but is not limited to:

• Formulary management
• Coverage determinations
• Pharmacy and Therapeutics Committee support
• Responding to clinical inquiries
• Implementing clinical programs

Function/Duties of Position:

• Formulary management including adjudication, formulary decision making, and benefit determination.
• Respond to and resolve clinical inquiries from members, clients, providers, or pharmacies related to formulary options, therapeutic alternatives, and coverage determinations.
• Complete prior authorization requests for members through collaboration with PBM Pharmacy Technicians.
• Coordinate with pharmacy claims processor to ensure formularies, clinical edits, and plan designs are implemented according to requirements.
• Assist with developing and presenting drug monographs, executive summaries, therapeutic class reviews, and medication policies to Pharmacy & Therapeutics Committees.
• Utilize claims data to evaluate benefit design for inappropriate utilization and opportunities to improve outcomes and optimize drug spend.

Qualifications

• A current Pharmacist’s license issued by the Oregon State Board of Pharmacy.
• OHSU may require training or experience in a specialized area at time of recruitment.

Requirements

• Drug therapy knowledge (Dosage, indications, side effects, etc.)
• Contemporary medication use systems
• Drug information through written and verbal consults as well as monographs
• Interpersonal communication
• Excellent organizational skills
• Supervisory concepts (for indirect reports)
• Problem solving

Preferred Qualifications

• B.S. Pharmacy or Pharm.D.
• Pharmacy practice residency or three years equivalent work experience
• 2 years or more in managed care, health plan or pharmacy benefit management setting
• PBM operational experience
• Specialty pharmacy practice
• Pharmacy benefit design
• Pharmacy & Therapeutics Committee participation
• Medication policy development
• Pipeline development
• Project management skills

Benefits

• Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
• Two separate above market pension plans to choose from
• Vacation - up to 200 hours per year depending on length of service
• Sick Leave - up to 96 hours per year
• 8 paid holidays per year
• Substantial Tri-met and C-Tran discounts
• Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP)

Company Description

OHSU is Oregon’s only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry, and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland’s largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state.