Manager, Clinical Pharmacy Programs
Manager, Clinical Pharmacy Programs
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Hi were Oscar. Were hiring a Manager of Clinical Pharmacy Programs to join our Pharmacy team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.
About the role
The Manager Pharmacy Clinical Programs oversees and manages clinical pharmacy programs driving affordability savings including core formulary management operations. This role partners across Pharmacy Medical Economics and the Office of Clinical Affairs to operationalize pharmacy related workflows and monitor existing savings plans for drugs on both the pharmacy and medical benefits.
You will report to the Senior Director Pharmacy Clinical Operations.
Work Location:
Oscar is a blended work culture where everyone regardless of work type or location feels connected to their teammates our culture and our mission.
This is a hybrid role in our Arizona New York and California office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid
Pay Transparency:
The base pay for this role is: $144000 - $189000 per year. You are also eligible for employee benefits participation in Oscars unlimited vacation program and annual performance bonuses.
Responsibilities
- Provide insights and recommendations for trend management and clinical effectiveness including serving as an important contributor in the enterprise affordability process for pharmacy
- Manage the pipeline of enterprise affordability projects across the pharmacy department (program operations and clinical) and oversee the performance of active programs
- Partner with leads across the organization to communicate understand and identify upstream and downstream impacts to the business
- Contribute to the design and implementation of clinical programs to improve patient outcomes and reducing costs.
- These programs may include medication adherence programs chronic disease management programs and patient education efforts
- Operationalize develop and maintain a clinically appropriate and cost-effective formulary by operating and managing Oscars P&T committee which includes evaluating new developments in the drug treatment landscape and providing recommendations on how to manage new to market drugs and new drug indications.
- Oversee and improve medical pharmacy preferred drug lists and strategies to supports use of lowest unit cost infusion products
- Provide written recommendations with responses and corresponding documentation for regulatory inquiries feedback on future legislation and other business questions that probe at formulary operations.
- Accountable and responsible for maintaining mental health parity NQTL responses and working cross-functionally for future filings and responding to ongoing objections during the audit process.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- Doctor of Pharmacy degree (PharmD)
- 4 years working for PBM or Payer in clinical pharmacy operations
- 4 years leading teams/projects and change management
Bonus points
- Residency Training
- 3 years supporting formulary management (P&T Committee clinical policy development formulary run operations)
- Experience with Marketplace Exchange and Medicare Advantage)
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. Were on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts within the base pay set forth above are determined by factors including your relevant skills education and experience. Full-time employees are eligible for benefits including: medical dental and vision benefits 11 paid holidays paid sick time paid parental leave 401(k) plan participation life and disability insurance and paid wellness time and reimbursements.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known.
Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar.
California Residents: For information about our collection use and disclosure of applicants personal information as well as applicants rights over their personal information please see our Notice to Job Applicants.
Required Experience:
Manager
Employment Type
Full-Time
