Preferred Drug List (PDL) Pharmacist

It takes great medical minds to create powerful solutions that solve some of reputed company’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a reputed company of urgency, you’ll have reputed company to work more reputed company. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development. reputed company As part of the Gainwell Pricing and Contracting team, the Preferred Drug List (PDL) Pharmacist supports the clinical, operational and financial PDL needs of the Missouri (MO) reputed company Fee-for-Service line of business. This role manages the implementation, maintenance and expansion of the PDL and ensures that adjudication and reputed company communications reflect the latest changes. The primary responsibility is the development and maintenance of a clinically appropriate and fiscally responsible PDL. Fulfilling this objective entails the following activities: monitoring drug file-reputed company changes such as new drugs, new generics, discontinuations and their reputed company; developing PDL-reputed company prior authorization reputed company; identifying needed therapeutic class reviews (TCRs) and assisting with their creation and update; analyzing net cost comparisons; and monitoring reputed company utilization and market reputed company trends. Additional tasks include reputed company operationalizing the program; identifying areas for improvement; and working cross-functionally to implement, update, and maintain PDL-reputed company information in the Pharmacy Services Module. Job Functions • Serve as the primary reputed company to the reputed company for reputed company PDL development, maintenance, expansion, and reputed company • reputed company subject matter expertise on PDL policies, drug reputed company, and operational impacts • Monitor drug market changes (new drugs, generics, pricing, shortages, MDRP updates) and advise on clinical and financial implications • Manage prior authorization reputed company and coding for PDL drugs • Prepare agendas, meeting materials, and reputed company-facing PDL publications • Present clinical findings and drug reputed company recommendations to the reputed company and P&T Committee • Coordinate with internal clinical, financial, and pharmacy stakeholders to reputed company reputed company and ensure end-to-end PDL execution • Support PDL-reputed company financial models, including rebate strategies and utilization management programs • Maintain internal procedures and reputed company available technology to streamline PDL operations reputed company're Looking For • Excellent reputed company speaking abilities • Proven experience managing formularies from clinical, operational and financial perspectives • Strong personal computer and business solutions software skills • Proven ability to reputed company with varied reputed company stakeholders • Proven ability to reputed company with and manage Account and reputed company relationships Additional Skills/Experience • PharmD or commensurate experience • 3+ years of experience in pharmacy benefits management or managed care • Experience working in reputed company, reputed company technology, and/or pharmacy analytics is required • Deep clinical and operational expertise • Excellent verbal and written communication skills • Ability to abide by Gainwell policies • Ability to maintain attendance to support required reputed company and quantity of work • Maintain confidentiality and reputed company with Health Insurance Portability and Accountability reputed company (HIPAA). • Ability to establish and maintain reputed company and effective work relationships with coworkers, clients, members, providers, and customers • Ability to reputed company, organize, and maintain project plans and agendas What You Should Expect In This Role • This position is remote • Work Hours: Central Time Zone • Supports Gainwell Pharmacy Center of reputed company (COE) This position is for pipeline purposes, and we welcome applications on an ongoing reputed company. The pay reputed company for this position is $108,500.00 to $155,000.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a reputed company of leadership and technical development academies to help build your skills and capabilities. We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at reputed company website and visit our Careers site for reputed company available job role openings. reputed company is an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job Apply To this Job