Health Plan Pharmacy Services Director
Provides pharmacy expertise in the development, implementation and management of the Health Plan’s pharmacy benefits. Assists in the management of pharmacy coverage and utilization, and provides expertise in improving and coordinating member care. These services will be provided in compliance with state and federal regulations, NCQA standards, and the mission, policies and procedures of Children’s Community Health Plan.
Bachelor of Science Degree in Pharmacy, and Doctor of Pharmacy Degree (PharmD) from an accredited U.S. School of Pharmacy.
Must have and maintain an active, unrestricted pharmacist license in the State of Wisconsin and meet the continuing education requirements. Preferred Experience (1) PA Pharmacist – Managed care residency or 1-3 years managed care experience, preferably in the development and execution of multiple utilization management techniques such as prior authorization, step therapy, quantity level limits, and other dose optimization techniques. Experience in pharmacy benefit management, insurance, managed care preferred and knowledgeable in therapeutic interventions and other cost containment programs. Effective communication skills, both written and oral.
Must have strong analytical ability and organizational skills. Computer literacy for pharmacy programming, word processing, data management.
Interested candidates should apply on our Children’s Wisconsin website (see URL below).
Children’s Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.Position Description »