Develops and updates pharmacy formulary criteria relating to therapeutic drug classes and individual medications covered under the pharmacy and medical benefits.
Serves as subject matter expert for formulary and UM recommendations to all segments of the EHP business.
Responds to physician and member inquiries relating to the prescription drug program.
Participates in peer-to-peer reviews with EHP Medical Directors and requesting physicians. In collaboration with the EHP Pharmacy Director, proactively designs and implements EHP programs for best practices (e.g., Adherence initiatives, generic conversion initiatives, medication reimbursement, etc.).
Creates educational lectures and materials for EHP members and staff.
Generates cost-utilization reports on a regular basis and evaluates impact of targeted formulary initiatives on internal savings.
Maintains a database for all utilization management approvals and denials.
Partners across Cleveland Clinic Pharmacy Enterprise teams and provides expertise for interdepartmental meetings.
Other duties as assigned.
Bachelor’s degree in Pharmacy or PharmD from an accredited school of Pharmacy.
Completion of Pharmacy Residency/Fellowship training or equivalent work experience highly desired.
Current State licensure as a Registered Pharmacist (RPh).
Complexity of Work:
Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment.
Two years of clinical pharmacy experience or one year of managed care pharmacy experience required.
Completion of a Pharmacy Residency or Fellowship may offset the required experience.
Requires the ability to sit and be stationary for prolonged periods of time, normal or corrected vision, and manual dexterity sufficient to perform work on a computer.
Ability to walk, to various locations throughout health system.
Personal Protective Equipment:
Follows standard precautions using personal protective equipment as required.
Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic Health System’s Smoking Policy will be permitted to reapply for open positions after 90 days.Cleveland Clinic Health System administers an influenza prevention program as well as a COVID-19 vaccine program. You will be required to comply with both programs, which will include obtaining an influenza vaccination, COVID-19 vaccination, or an exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Cleveland Clinic, located in Cleveland, Ohio, is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education.Cleveland Clinic was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual "America's Best Hospitals" survey. 2,000 physicians and scientists practice in and conduct research in more than 120 medical specialties and annually provide for more than 4.2 million patient visits.In addition to the main hospital, family health centers (some with surgical suites) are located throughout Northeast Ohio. For Floridians in need of medical care, Cleveland Clinic Florida offers inpatient, outpatient and emergency services.For more than a decade, Cleveland Clinic community hospitals; Euclid Hospital, Fairview Hospital, Hillcrest Hospital, Lakewood Hospital, Lutheran Hospital, Marymount Hospital, Medina Hospital, South Pointe Hospital and affiliate Ashtabula County Medical Center have brought the Greater Cleve...land area world-class Cleveland Clinic care while maintaining a passionate commitment to the communities they serve. Under the leadership of Cleveland Clinic, our community hospitals work together to provide the level of care, attention and service our patients expect from us.With projects underway in Abu Dhabi, China, Austria and Canada, Cleveland Clinic is also bringing its world-class approach to patients worldwide.Whether your career goals are better suited to a major medical center or a community hospital setting, Cleveland Clinic has employment options that will allow you to take your healthcare career to the next level.