Director, Clinical Affairs Formulary Management job at Caremark in Northbrook

Caremark is looking of Director, Clinical Affairs Formulary Management on Mon, 30 Jul 2012 23:59:27 GMT. The Director of Clinical Affairs located in Northbrook, IL, will be responsible for overseeing and supporting clinical and formulary management activities and initiatives for Medicare and Medicaid with the goal of maintaining clinical appropriateness, accuracy and clinical consistency. This position will direct and be responsible for development, implementation, and evaluation of Medicare and...

Director, Clinical Affairs Formulary Management

Location: Northbrook, Illinois

Description: Caremark is looking of Director, Clinical Affairs Formulary Management right now, this job will be depute in Illinois. For complete informations about this job opportunity kindly see the descriptions. The Director of Clinical Affairs located in Northbrook, IL, will be responsible for overseeing and supporting clinical and formulary management activities and initiatives for Medicare and Medicaid with the goal of maintaining clinical appropriateness, accuracy and clinical consistency. This position will direct and be responsible for development, implementation, and evaluation of Medicare and Medicaid formularies and related processes, ensuring full compliance with CMS rules and regulations. Additional responsibilities include leading clinical workgroups supporting product development, web services, enterprise formulary initiatives, Health Care Reform and additional clinical activities based on the organizational and marketplace needs.

The role will consult as a subject matter expert, facilitate clinical decision-making and will provide clinical leadership and direction on requests for information both internally and externally with significant focus in the areas of Formulary and Utilization Management in Commercial and Government environments. This position will also assist with the coordination of clinical activities to meet organizational goals, client needs, performance standards, and Plan requirements while ensuring compliance with established Policies and Procedures, Best Practices and applicable regulations and standards.

Critical Skills include:

• Ability to identify, analyze and solve problems from a practical perspective
• Ability to produce results by determining timeframes, deadlines and successive steps.
• Ability to negotiate or solve matters involving significant or controversial issues.
• Ability to plan, coordinate or advise others on work effects or progress.
• Ability to resolve problems by influencing or motivating others.
• Strong analytical, quantitative, mathematical, and interpersonal skills
• Ability to prioritize and handle multiple projects
• Highly motivated
• Dedication to continuous improvement

5-10% travel Qualifications Preference will be given for individuals with in depth knowledge of Formulary Management in Commercial, Medicare and Medicaid environments and the Pharmacy and Therapeutics Committee decision making process. Strong Clinical skills and knowledge required. In-depth knowledge of managed markets and understanding of commercial and government payer’s landscape and marketplace needs. Strong organizational and communication skills and proven ability to lead cross-functional teams in a matrix organization. Able to work across boundaries and locations, have attention to detail, and understand the impacts of their function to the organization, clients, and plan participants. Demonstrates strong strategic thinking and ability to distill strategic concepts into actionable tactics. Demonstrates leadership traits by way of example rather than by organizational hierarchy. Supports Clinical Development efforts with the ability to identify opportunities, define approach, develop project plans and oversee implementation of clinically-related projects and services. Knowledge of the regulatory environment including CMS, URAC, NCQA and other applicable standards. Experience Minimum of seven (7) years experience in a Managed Care environment and a minimum of (5) years of management experience. Education Minimum Bachelors of Science in Pharmacy and be a licensed pharmacist in the state of residence. A Masters or higher level degree in business preferred. Employment Status Full Time
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If you were eligible to this job, please deliver us your resume, with salary requirements and a resume to Caremark.

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This job starts available on: Mon, 30 Jul 2012 23:59:27 GMT

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