Preferred Drug List Pharmacist, Missouri

🕒 July 28

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $113.7k - $162.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 17%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Support clinical, operational, and financial PDL needs for the Medicaid Fee-for-Service line of business • Manage the implementation, maintenance, expansion, and transformation of the Preferred Drug List • Serve as the primary Client contact for all aspects of PDL management • Provide PDL subject matter expertise and troubleshoot PDL-related matters • Manage weekly Client meetings covering clinical, operational, and financial PDL impacts • Monitor new drugs, generics, discontinuations, MDRP changes, price changes, and drug shortages • Manage prior authorization criteria and code PDL drugs and statuses • Draft agendas, minutes, PDL lists, and other publications for Client review and public dissemination • Participate in clinical and financial drug review meetings and P&T Committee meetings • Present complex clinical information to Clients and P&T Committees • Manage pre- and post-P&T Committee deliverables • Develop strategy recommendations for drugs, therapeutic classes, and utilization management criteria • Research and explain clinical and business aspects of drugs and drug strategies • Monitor drug-market changes affecting State drug expenditures • Liaise between internal and external pharmacy stakeholders • Analyze clinical evaluations and net costs using State pricing methodologies and Medicaid rebates • Support volume-based agreements, value-based agreements, Brand over Generic, and preferred diabetic supplies programs • Create and maintain desk-level procedures • Use out-of-the-box technology to optimize PDL operations

🎯 Requirements

• PharmD or commensurate experience • An active Pharmacist license is required • 3+ years of experience in pharmacy benefits management or managed care • Experience working in Medicaid, healthcare technology, and/or pharmacy analytics is required • Proven experience managing formularies from clinical, operational and financial perspectives • Excellent public speaking abilities • Strong personal computer and business solutions software skills • Proficiency in Microsoft Office tools, especially Excel • Proven ability to interact with varied internal and external stakeholders • Proven ability to interface with and manage Account and Client relationships • Deep clinical and operational expertise • Excellent verbal and written communication skills • Ability to abide by Gainwell policies • Ability to maintain attendance to support required quality and quantity of work • Maintain confidentiality and comply with HIPAA • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers • Ability to develop, organize, and maintain project plans and agendas

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • 0–10% travel