Consultant, Formulary Administration Pharmacist

Health Partners is looking to hire a Formulary Administration Consultant Pharmacist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

This position is responsible for the formulary management of Regulated Products (Medicare, State Public Programs, Exchange, and Federal Employees Programs). The consultant will assist in the development, maintenance, and communication of all formularies and covered products. Areas of focus include Regulated Products formulary and benefits;
Fraud, Waste and Abuse (FWA) Management, Marketing and Member Materials, Compliance and Audit Support. The position also supports Pharmacy Department initiatives.

Standard business hours

• Education, Experience or Equivalent Combination: Minimum of two years of experience working in a managed care pharmacy or clinical pharmacy setting or completion of a managed care pharmacy residency program.
• Licensure/ Registration/ Certification: Licensed Pharmacist in Minnesota.
• Knowledge, Skills, and Abilities: Familiar with formulary maintenance.
• Familiar with the development of drug coverage policies and utilization management programs.
• Demonstrated skill in problem solving, planning, organizing and time management.
• Demonstrated skill in effective project management including use of project planning and tracing tools, achievable goals, objectives, and timelines, and innovative use of resources.
• Excellent verbal and written communication skills. Excellent attention to detail and accuracy.
• Ability to manage multiple projects simultaneously. Ability to solve problems with minimal direction.
• Self-motivated with critical thinking ability and ability to work independently.
• Must be able to establish and maintain effective, courteous, and confidential relationships with coworkers, staff, employer groups, and members.

• Education, Experience or Equivalent Combination: Medicare Part D experience.
• Education, Experience or Equivalent Combination: Health Insurance Exchange experience.
• Education, Experience or Equivalent Combination: Experience with Minnesota State Public Programs (e.g., Medicaid).
• Knowledge, Skills, and Abilities: Pharmacy Benefit Management experience including formulary and utilization management experience.

• Health Partners offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, and much more!