Part-time, project-based, consulting work
Position is work from home
Risk & Regulatory Consulting, LLC
Specific Duties and Responsibilities
Ensure issuer compliance of market-wide requirements of Title XXVII of the PHSA such as prescription drug formularies
Document in writing findings and reports of examinations, as needed.
Must have 5-10 years of pharmacy experience, as a registered pharmacist in regulatory, behavioral health, retail, and/or clinical
Advanced degree as PharmD or Bachelors of Science in Pharmacy with informatics background; Previous experience with formulary medication systems development to support process improvement strategies;
Effectively use information technology (IT) to analyze data in areas of evidence based medicine practices, outcomes measurements, and process improvements;
Must be able to interact with multi-disciplinary team of experts in areas of IT, health insurance, pharmacy and policy;
Must understand the fundamentals of pharmacy financial data and balancing clinical, regulatory, pharmaceutical industry and consumer access issues to formulary system development;
Must be able to contribute decision support for system refinements pertinent to improving formulary review, optimizing review tools, and enhancing system performance.
Claims processing experience in retail or managed care
Must not currently be working with or have an affiliation with a managed care organization (MCO) which would create a conflict of interest
Mental Health Parity
Experience using Microsoft Office (Word, Excel, Access, PowerPoint, and Outlook).
Effective written and oral communication skills.
Must be able to meet tight deadlines and offer flexibility in hours
Regulatory experience is a plus
Strong writing skills
Strong analytical abilities and attention to detail.
Experience and ability to work both independently and within a team environment.
Ability to adapt to changing priorities, self-motivated and energetic qualities desirable.
Managed Care/Pharmacy Benefit Management and pharmacy audit experience a plus.
A combination of pharmaco-economic, drug information, clinical experience is highly desirable.
Must be comfortable doing presentations and conduct phone calls with multiple team members.
Travel as needed