Clinical Program Senior Manager - Express Scripts - Remote (Commercial Formulary Solutions)

Clinical Program Sr.

Manager - Commercial Formulary Solutions

JOB PROFILE SUMMARY

The Sr.

Manager, Formulary Solutions is a dynamic role responsible for assisting with the strategic formulary development and maintenance of our Express Scripts standard Commercial formulary offerings as well as overseeing Marketplace Formulary consultation.

An emphasis will be placed on, but not limited to, creating financial models to evaluate optimum formulary value within clinical guidance as well as leading marketplace formulary consultation training and development program.

This role will work cross-functionally with Pharma Contracting, Sales & Account Management, Regulated Markets, and Finance partners.

ESSENTIAL FUNCTIONS:



* Collaborate with our Institute for Clinical Guidance and Oversight in conjunction with Pharma Contracting & Strategy partners to identify strategic formulary opportunities, requiring expertise in contract interpretation


* Oversee the strategy and review of the Sr.

Advisor/Advisor's financial formulary modeling and help support department training needs, including content development as necessary


* Provide expert standard Commercial formulary modeling and present recommendations to Value Assessment Committee


* Provide consultation and clinical perspective on complex rebate modeling formulary matters


* Create and lead marketplace consultative formulary support model, including content development for onboarding and benchmark reporting analysis and interpretation


* Ensures optimization of work processes for modeling needs of the standard Commercial formularies to achieve department goals


* Create and deliver internal and external presentations for account team trainings, as well as consultant and client meetings


* Support modeling strategies from a clinical perspective (Competitive Product Category, Utilization Management interpretation) and serve as a primary point of contact for modeling tool enhancements.


* Act as a resource to field clinical questions from other formulary consulting team members, as well as cross-functional partners and account teams

QUALIFICATIONS:


* Pharm.D.


* Current active U.S.

Pharmacist License


* 4-8 years of pharmacy/ PBM/ Managed Care/healthcare related experience required


* 2+ years of formulary management/development experience preferred


* Leadership experience preferred


* Detail Oriented, Organizational and Analytical skills


* Excellent PC skills - including Excel, PowerPoint and MS Access, experience with database


* Financial or analytical modeling experience


* Familiarity with pharmaceutical rebate contracts and marketplace formularies, a plus


* Proven ability to work in a fast paced - ever changing environment


* Excellent relationship building and cross functional skills


* Ability to travel approximately 10%.

If you will be working at home occasionally or permanently, the internet connection mu...