Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is hiring a Senior Clinical Pharmacist to join the Commercial Pharmacy department. The role involves planning and managing the clinical delivery of pharmaceutical benefits and services, collaborating with Medical Directors, and implementing various clinical programs.

Responsibilities

• Develop and implement clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes
• Develop, analyze, report on clinical programs, manage and coordinate between Health Care Management and Health Care Services Development to optimize BCBSNC long-term access to high-quality, cost-efficient pharmacy providers
• Analyze, document, and report on pharmacy project performance results relative to clinical indicators
• Manage and support Academic Detailing programs and conduct site visits as necessary. Participate in education of provider networks
• Develop, implement and manage managed care programs such as prior authorization and quantity limitations programs to meet Plan goals
• Ensure clinical compliance with law and regulatory bodies and represent pharmacy programs before reviewing bodies such as the North Carolina Department of Insurance and the National Committee for Quality Assurance. Develop and maintain formulary compliance programs
• Develop educational materials, newsletters, member and provider talking points and disseminate clinical information for both internal and external audiences
• Pursue active membership in professional organizations and seek continual professional development to identify industry trends and best practices and innovative solutions to current and emerging industry challenges
• Manage the requirements for the organization’s participation in Medicare Part D

Skills

• Bachelor's degree or advanced degree
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field
• Licensed pharmacist or eligible for licensure in North Carolina
• Strong communication and interpersonal skills
• Excellent time management and organizational abilities
• Skilled at working with internal and external stakeholders
• Proficiency with Microsoft Office Suite, including PowerPoint
• Experience creating and delivering professional presentations
• Community pharmacy experience preferred

Benefits

• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution
• Annual Incentive Bonus*
• 401(k) with employer match
• Paid Time Off (PTO)
• Competitive health benefits and wellness programs

Company Overview

Company H1B Sponsorship