Medicaid Pharmacist - Unclassified

Overview

Under the direction of the Nevada Health Authority Senior Clinical & Pharmacy Officer and the Nevada Medicaid Administrator, the Medicaid Pharmacist provides leadership and oversight of the Nevada Medicaid pharmacy benefit. The ideal candidate is a bold, forward-thinking leader that excels in shaping and executing strategy, driving results, and leading a team collaboratively.

Doctor of Pharmacy (Pharm

D) degree or Bachelor of Pharmacy and an active and unrestricted Nevada Pharmacist license in good standing; or a Pharmacist License from another state and the ability to obtain a Nevada Pharmacist’s license within 90 days of starting in the role. Applicants must have a minimum of 5 years of experience as a practicing pharmacist, including at least 3 years in leadership, with preferred experience in managed care, health plan, or pharmacy benefit management settings.

• Develop and implement strategic plans for pharmacy services that align with the organization s goals and the needs of the Medicaid population.
• Provide leadership and direction for all pharmacy operations, including managing a team and ensuring professional development.
• Ensure full compliance with all federal and state regulations and monitor and analyze pharmacy utilization data to identify trends, potential fraud and abuse, and areas for quality improvement.
• Analyze and interpret clinical and financial data to support formulary decisions and program effectiveness.
• Build and maintain relationships with key stakeholders, including state Medicaid agencies, pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and other departments within the organization.
• Negotiate and manage contracts with PBMs and other pharmacy vendors.
• Provide clinical guidance and support to various internal departments that require clinical pharmacist intervention.