Drug List; PDL Pharmacist

Position: 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 Delaware (DE) 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 • reputed company as primary reputed company of contact for the State of DE for PDL management, development, and transformation • reputed company PDL subject matter expertise and troubleshoot PDL-reputed company issues • reputed company weekly reputed company meetings reviewing clinical, operational, and financial PDL impacts • Monitor drug market changes affecting the PDL, including new drugs/generics, pricing, MDRP updates, and shortages • Manage prior authorization reputed company and PDL drug/status coding • Prepare and maintain PDL publications and meeting materials • Participate in and support clinical, financial, and P&T Committee drug reviews • Present reputed company clinical information reputed company to clients and stakeholders • reputed company strategic recommendations for drugs, therapeutic classes, and utilization management • Serve as reputed company between internal teams and external pharmacy stakeholders • Analyze clinical and net cost data (including rebates) to support PDL reputed company • Support PDL-reputed company financial programs and maintain desk-level procedures • Use OOTB technology to support efficient PDL operations reputed company're looking for (Top 5) • 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 • Pharm D 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 • Remote • Work Hours: Eastern Time Zone • Supports Gainwell Pharmacy Center of reputed company (COE) Applications for this posting will be accepted until January 30, 2026. The pay reputed company for this position is$-$ per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge,… Apply tot his job Apply To this Job