Who is Prescryptive?

Prescryptive Health is a healthcare technology company delivering solutions that empower consumers. Prescryptive’s secure, mobile-first products connect consumers, pharmacists, and employers, ultimately providing people with the information they need to make informed decisions and take control of their health. To learn more about Prescryptive Health, visit Prescryptive.com.

About this role

We are looking for a Managed Care Pharmacist to play an important role in managing updates to Prescryptive’s formulary as the company grows and becomes more complex.  This position will work closely with internal and external stakeholders to ensure clear understanding of the formulary, specialty drugs, and other related initiatives. 

What you will do

• Ensures the efficient operational management of the formulary updates with emphasis on execution, outcomes, continual improvement, and performance enhancement.
• Oversees the monitoring of and educates stakeholders on the drug development pipeline and strategies we will employ to appropriately manage new and existing drugs
• Works with appropriate business partners to ensure accurate and timely implementation of formulary changes.
• Monitors the formulary change process to minimize member disruption but drive value and better member outcomes
• Supports leadership in direct rebating decisions and negotiations in collaboration with pharmaceutical manufacturers.
• Works with Senior Director, Clinical Services to create, update and maintain alternatives.
• Creates PA criteria in coordination with Senior Director for all specialty drugs.
• Creates, monitors, and reports monthly on key performance indicators (KPIs) related to formulary management, including but not limited to cost and member, provider and/or drug utilization
• Identification, quantification, and measurement of total cost of care savings opportunities related to formulary management and other drug management techniques
• Provides support to clients in custom formulary decisions.
• Collaborates with other teams to communicate and educate members, providers, pharmacies, and internal business partners on formulary, prior authorizations, specialty drugs and other initiatives
• Analyzes data regularly to identify process improvement opportunities relating to formulary management, as well as clinical policy and criteria development
• Participates in department and team initiatives and projects
• Participates in relevant pharmacy research projects and educational programs
• Perform any other job duties as requested

What you will bring

• Minimum of five (5) years of experience required, to include minimum of two (2) years of drug information or formulary management experience or equivalent.
• In lieu of formulary management or managed care experience, clinical pharmacists with a minimum of three (3) years of direct patient care experience will be considered.
• Proficiency in Microsoft Word and Outlook and advanced proficiency in PowerPoint and Excel
• Strong presentation skills and ability to interact effectively with internal/external audiences, summarize work for different audiences
• Strong problem-solving skills
• Familiarity with medical terminology
• Extraordinary attention to detail
• Ability to synthesize large amounts of findings orally and in writing
• Excellent time management and ability to effectively, efficiently and accurately manage multiple tasks simultaneously under tight timelines in a fast-paced healthcare environment
• Ability to work independently and within a team environment
• Strong oral, written, and interpersonal communication skills
• Strategic management skills
• Demonstrated conflict resolution skills
• Strong decision-making skills
• Customer service skills with the ability to interact professionally and effectively with members, providers, internal business areas and colleagues
• Strong analytical skills with the ability to create reports and interpret operational, utilization and financial data
• Proven problem-solving skills with the ability to look for root causes and develop implementable, workable solutions

What we have to offer

• The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry
• Flexible time off, including 12 paid holidays
• 401k match plus 100% employer paid medical, dental, and vision
• Company contribution to Health Savings Account
• Stock options

Prescryptive is committed to fair pay practices. The projected annual salary for this position is $140k to $196k.   When preparing an offer, we consider the candidate's resume, experience, interview feedback, internal equity, and location.

Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.