Pharmacy Services Manager

Job Description:

Hours: Full-Time (40 hours)

Shifts: Primarily normal business hours, Monday - Friday 8:00 am to 5:00 pm, with travel requirements

Benefits Eligible: Yes - Link to Benefit Details

Make an Impact Where Clinical Insight Meets Client Partnership

SelectHealth is seeking a Pharmacy Services Manager to serve as a Clinical Account Manager for Medicare clients. This role supports and strengthens client relationships by delivering high-quality clinical insights, pharmacy benefit expertise, and exceptional customer service. The ideal candidate brings strong clinical knowledge, PBM and Medicare experience, and the ability to translate complex data into actionable, compliant recommendations. Travel is required.

Our vision is to be a model health plan by providing high-value health benefits and superior service at an affordable cost.

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Select Health is a non-profit health plan in Utah, Idaho, Nevada, and Colorado, with more than one million members across the United States. We are committed to helping our members and everyone in our communities stay healthy. In fact, we share a mission with Intermountain Health: Helping people live the healthiest lives possible.

What does it mean to be a caregiver with Intermountain? Check out this video and learn more and discover the “Power of We.”

If you are interested in learning more about this role or about Intermountain Health, click here to schedule time with me!

Essential Functions

• Ensures coordination and communication of pharmacy benefit management (PBM) programs including drug manufacturer contracting, P&T Committee activities, physician communication/education, retail/community pharmacy, NCQA qualification, information services, clinical intervention programs, drug usage evaluation programs, and pharmacy outcomes research.

• Coordinates, manages, and monitors pharmacy claims processing services, utilization management, and prior authorization protocols.

• Conducts Drug Utilization Review projects as appropriate, which includes ability to query and analyze pharmacy data.

• Oversees Clinical Coordinators, pharmacy residents and student activities.

• Promotes stand-alone PBM through relationships with customers, brokers, and key employer group executives.

• Responsible for the administration of all medication therapy management programs for Medicare Advantage, Medicaid, Commercial lines of business.

• Oversees and/or coordinates pharmacy and network contracts.

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Skills

• Pharmacy Benefits Management (PBM)

• Pharmacy Services

• Clinical Pharmacy

• Communication

• Presentation Skills

• Computer Literacy

• Pharmaceutical Industry

• Pharmacy Claims

• Benefits Management

• Medication Therapy Management

Required Qualifications:

• Pharm D. degree or Masters degree from an accredited school of pharmacy. Degree will be verified.

• State license to practice pharmacy and dispense controlled substances.

• Five years of pharmacy practice experience in a managed care or hospital environment.

• Five years of Pharmacy Benefits management experience.

Preferred Qualifications:

• Advanced degree in business management or healthcare administration.

• Pharmacy experience in a managed care setting including an ASHP accredited managed care residency.

• Strong health care systems orientation including: managed care, retail and hospital pharmacy, pharmacy contracting, pharmaceutical company contracting.

• Strong verbal and written communication skills.

• Personal computer skills including word processing and spreadsheets.

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.