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Clinical Pharmacist, Drug Pipeline Cost Modeling

Remote, USA Full-time Posted 2025-11-24
About the position Responsibilities • Ownership of the VDP process including biannual and weekly VDP review, formulary alternatives, VDP savings analysis, VDP strategy including number and type of lists, VDP marketing material and collateral. • Work with internal stakeholders to design models including data collection procedures for research (e.g. Biannual VDP drug placement project). • Drug Pipeline modeling, including model frameworks, assumption research, development and presentation of results. • Client Presentations of results of pipeline modeling, support client teams in formulary strategy decisions. • Design analytical plans that specify procedures for conducting data collection and research (e.g., pipeline PMPM modeling, drug level assumption setting for pipeline modeling, clinical effectiveness and research for VDP modeling). • Work with internal and external stakeholders to determine key research questions related to drug strategy. • Utilize relevant information resources (e.g., on-line sources; share-point; medical journals; industry literature, etc.) to conduct literature searches and answer questions. • Demonstrate understanding of healthcare system nuances (like population characteristics, payment reimbursement etc. for commercial, Medicare and Medicaid). • Demonstrate and apply understanding of health care industry trends and their drivers in determining monthly alternatives. • P&T support (e.g. developing materials and presentation of material to P&T committee). • Be aware of current and emerging trends in clinical information, treatment guidelines and formulary review strategies. • Work with internal teams to implement updates Optum affordability initiatives and clinical program lists. • Regularly synthesize drug tiering and utilization management strategies to develop collateral used in consultant and client communications. • Assist in training and mentoring of pharmacy residents, students, and interns. • Other activities as determined by the VP of Formulary Strategy. Requirements • Pharm D degree. • Current, unrestricted Pharmacist license (any state). • 2+ years of experience working as a licensed pharmacist in a clinical setting (not retail pharmacy). • Experience working on or with a Pharmacy & Therapeutics (P&T) committee. • Experience writing and presenting monographs and class reviews. • Computer proficiency at the intermediate level and experience with MS Office (specifically Word, Excel and PowerPoint). • Willing or the ability to travel up to 10%. Nice-to-haves • Successful completion of a Pharmacy Residency program. • Experience in formulary strategy including understanding of the formulary placement decisions. • Experience working within a PBM or Managed Care. Benefits • Comprehensive benefits package. • Incentive and recognition programs. • Equity stock purchase. • 401k contribution. Apply tot his job Apply To this Job

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