You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a highly skilled Pharmacist to lead their Medicare Part D pharmacy program. This includes overseeing formulary management, ensuring CMS regulatory compliance, managing PBM vendor performance, optimizing drug utilization, and directing pharmacy operations. The role involves spearheading clinical cost-saving initiatives, managing the annual formulary and bid process, supervising operational staff, and utilizing data analytics to enhance medication outcomes and program efficiency.
Key Responsibilities
- Lead the Medicare Part D pharmacy program.
- Oversee formulary management, CMS regulatory compliance, PBM vendor performance, drug utilization, and pharmacy operations.
- Direct clinical cost-saving initiatives to optimize pharmacy spend and improve financial performance.
- Manage the annual formulary and bid process in collaboration with external consultants.
- Supervise pharmacy operational staff.
- Leverage data analytics to improve medication outcomes, enhance program performance, and drive cost efficiency.
Qualifications
- Direct Medicare Part D managed care experience.
- Prior PBM (Pharmacy Benefit Manager) background is preferred.
- Proven experience improving Part D STAR ratings/measures is preferred.
- Formulary bid experience is preferred.
Education
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
Medix is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status. Medix is committed to complying with all applicable federal, state, and local law pertaining to nondiscrimination and equal opportunity. Medix is an E-Verify employer. Qualified applicants with criminal histories will be considered for employment in a manner consistent with the requirements of the Fair Chance Ordinance.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
