Clinical Pharmacist

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Clinical Pharmacist

807 HEALTH CARE AUTHORITY

Pharmacy

Full time

Regular

$112,705/year

At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values,
Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership
, we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA.

• Generous state-paid benefit allowance to offset insurance premiums.
• A wide selection of insurance plans with no pre-existing condition exclusions.
• Flexible Spending Accounts for health care and dependent care.
• Retirement Savings Plan with employer contributions.
• 11 paid holidays annually.
• 15 days of vacation and 15 days of sick leave in the first year.
• Longevity Bonus recognizing years of public service.
• Public Service Loan Forgiveness eligibility and tuition reimbursement.
• Wellness benefits, including an on-site gym and fitness center discounts.

Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105

Salary: $112,705/year

Work Schedule: Monday – Friday

Primary

Hours:

8:00 a.m. – 5:00 p.m.

Agency/Division Information: The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agency’s core values include passion for purpose, trust and transparency, empowerment and accountability, best in class and outcome-driven, and servant leadership. As part of the interview process, candidates may be required to attend an in-person interview at our Oklahoma City office.

Position

Purpose:

The Pharmacist provides advanced clinical and technical support to the agency's pharmacy programs. This role focuses heavily on pharmacy data analytics, system logic evaluation, and the optimization of healthcare technology platforms, including MMIS. The incumbent will analyze complex claims data, evaluate system edits, and collaborate on technical workflows to ensure program efficiency and compliance.

• Analyzes pharmacy program and recommends interventions for cost-effective use of resources.
• Analyzes claims utilization for clinical issues using MMIS, Business Objects, and Excel.
• Designs and drafts member and provider intervention and education projects working with Pharmacy Management Consultants at the OU College of Pharmacy.
• Supports and assists Pharmacy Director with policy development through reporting and analysis, budget planning, rule drafting, and State Plan amendments.
• Supports and assists Pharmacy Director with MMIS claims processing enhancements such as new edits or audits.
• Directs and monitors pharmacy program contractor activities and assists in contract language, negotiation with contractor representatives, appropriations process, agency contracting process, and invoice reconciliation for all vendor contracted activities affecting the pharmacy department. These programs include but are not limited to:
  State Maximum Allowable Cost, Prior Authorizations, and Drug Utilization Review.
• Develops, operationalizes, and assists in the development of a disease and medication therapy management program. This function may include policy development, State Plan Amendments, CMS waivers, administrative rules, rate-setting, the RFP process, provider and vendor contracts, budgeting, and monitoring.
• Collaborates with Managed Care plans for oversight, implementation, and evaluation of the Sooner…