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MedImpact Healthcare Systems, Inc.

Pharmacy Resident - Managed Care

MedImpact Healthcare Systems, Inc., San Diego, California, United States, 92189

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Pharmacy Resident - Managed Care

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MedImpact Healthcare Systems, Inc. 2 days ago Be among the first 25 applicants This position is not eligible for Sponsorship. Job Description

MedImpact’s Managed Care Pharmacy Residency Program is a one-year program that develops future managed care leaders by building a strong foundation of knowledge in both clinical and managed care principles. By working across multiple teams serving all lines of business, the diverse experience gained will amply prepare the resident for a career in managed care pharmacy. The resident provides support to the Government Programs and Services (GPS) team and other departments through managed care learning experiences (rotations) and longitudinal projects. Rotations/projects will include clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics and research. Essential Duties and Responsibilities

Perform cost savings and member impact analyses after learning benefit design and utilization management strategies. Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings. Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business. Participate in the management of government programs to evaluate and facilitate regulatory programs. Perform quality program oversight and develop quality improvement initiatives while supporting oversight audits. Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing. Assist in P&T material preparation and weekly drug updates. Present at MedImpact P&T Committee meetings. Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities. Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting. Education and/or Experience

PharmD from an ACPE-accredited school of pharmacy Minimum GPA of 3.0 Managed Care experience preferred Certificates, Licenses, Registrations

Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year. Other Skills and Abilities

Strong analytical and problem-solving capabilities Excellent communication and presentation skills Ability to work independently and as part of a team Knowledge of PBM operations, drug formulary systems, and healthcare regulations Reasoning Ability

Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.) and to handle a variety of abstract and concrete variables. Ability to define problems, collect data, establish facts, and draw valid conclusions. Language Skills

Ability to effectively present information to top management, public groups, and/or boards of directors. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Competencies

Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is regularly required to sit and talk or hear, stand, walk, use hands to finger, handle, or feel, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to moving mechanical parts, fumes or airborne particles, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate. Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Work hours may be changed from time to time to meet the needs of the business. Travel

This position requires domestic travel of up to 25% of the time. How to Apply and Additional Information

Please include Letter of Intent AND Curriculum Vitae (CV) in Workday along with submission of application. Official transcript must be emailed directly from pharmacy school to ResidencyProgram@medimpact.com. Three letters of recommendation must be emailed directly from letter writers to ResidencyProgram@medimpact.com. Perks

Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus Company Information

MedImpact, a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Equal Opportunity Employer, Male/Female/Disabilities/Veterans. Legal and Compliance

Osha/Ada: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The statements are intended to describe the general nature and level of work and are not exhaustive.

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