Pharmacist - Pharmacy Benefit Management

The PBM Pharmacist provides clinical support to OHSU Pharmacy Benefit Management Services. Support includes but is not limited to formulary management, coverage determinations, Pharmacy and Therapeutics Committee support, responding to clinical inquiries, and implementing clinical programs. Responsibilities include formulary management activities, responding to clinical inquiries, overseeing prior authorization requests and coordinating with pharmacy claims processor to ensure formularies, clinical edits, and plan designs are implemented according to requirements. You will assist with developing and presenting drug monographs, executive summaries, therapeutic class reviews, and medication policies to Pharmacy & Therapeutics Committees. You will also utilize claims data to evaluate benefit design for inappropriate utilization and opportunities to improve outcomes and optimize drug spend. The PBM pharmacist will experience competing demands and frequent interruptions from PBM Technicians, clients, members, and other health care professionals.