CareSource
1001 - 5000 employees
Founded 30+ years
⚕️ Healthcare Insurance
Healthcare Insurance
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
Director, Pharmacy Clinical Strategy – Preferred Experience in Formulary Strategy, Managed Care
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CareSource
1001 - 5000 employees
Founded 30+ years
⚕️ Healthcare Insurance
Healthcare Insurance
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
📋 Description
• Lead the strategic development of formulary management best practices & industry-leading formularies • Ensure efficient operational management • Oversee the monitoring of drug development pipeline • Educate stakeholders on drug strategies • Manage formulary and medical benefits • Negotiate direct rebates with pharmaceutical manufacturers • Develop and report on key performance indicators (KPIs) • Collaborate with other teams to communicate and educate stakeholders • Ensure compliance with regulatory and accreditation standards
🎯 Requirements
• Bachelor's degree in Pharmacy required • Doctorate of Pharmacy (Pharm.D.) preferred • Three (3) years of managed care experience required • Two (2) years of formulary management experience in Medicare, Marketplace or Medicaid lines of business required • Experience working with government lines of business (Medicare, Medicare, or Marketplace) in multiple states or markets required • Experience participating in or leading a P&T Committee required • Previous managerial experience required • Familiarity with medical terminology and medical claims billing • Intermediate proficiency in Microsoft Outlook and Microsoft Word • Advanced proficiency in Microsoft PowerPoint and Microsoft Excel (able to create presentation-ready charts & graphs, Pivot tables/charts)
🏖️ Benefits
• Health insurance • 401(k) matching • Flexible working hours • Paid time off • Professional development opportunities • Bonus tied to company and individual performance • Substantial and comprehensive total rewards package
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