Raleigh, North Carolina
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Gainesville, Georgia
Denver, Colorado
Gainesville, Georgia
Posted: 09-Jul-25
Location: Minnetonka, Minnesota
Type: Full Time
Salary: $98,400 - $168,600
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Internal Number: CLINI005036
The Clinical Pharmacist will support pharmacy-related initiatives that drive quality improvement and Accountable Care Organization (ACO) clinical outcomes. In this role, you will collaborate with both internal and external stakeholders to optimize utilization management, clinical programs, and quality initiatives. The ideal candidate will use industry knowledge and data-driven insights to identify market trends and develop actionable recommendations that support Medica’s goals.
Areas of focus include partnering with Accountable Care Organizations to drive clinical initiatives, review and analysis of pharmacy data, and operationalizing quality improvement initiatives. This role requires a balance of clinical expertise, strategic thinking, and strong interpersonal skills.
Key Accountabilities
- Acts as the pharmacy subject matter expert during quarterly business reviews and meetings with Accountable Care Organizations (ACOs).
- Participates actively in both internal and external clinical pharmacy meetings to support and enhance key initiatives.
- Educates and promotes targeted performance improvement opportunities across the enterprise
- Partner with internal clinical pharmacy team and Analytics to analyze pharmacy trends to develop negative trend mitigation strategies
- Understands and promotes clinical pharmacy program strategies such as biosimilar utilization optimization
Strategic goals are focused on enhancing partnerships with health systems and advancing pharmacy initiatives. The individual in this role will ensure that such work is done in compliance with applicable state and federal regulations. This position will need to effectively navigate a large health care organization and understand the unique needs to customers including members, providers, and internal peers.
It's important that our Clinical Pharmacist has a strong understanding of Medicare STARs measures, the health plan space, PBM business practices, and vendor management.
Qualifications
- Bachelor’s degree in Pharmacy required; PharmD preferred
- 5+ years of related experience
Certifications/Licensure
- Valid, registered pharmacy license (in any state)
Skills and Abilities
- Experience working in a matrixed or multi-disciplinary environment is preferred
- Strong interpersonal and relationship-building skills will be key in partnering with health systems
- Organized individual who can simultaneously balance and execute through multiple projects and priorities
- Self-starter, possessing willingness and ambition to work through ambiguity
- Creative thinker
- Motivated to problem solve
- Experience managing and analyzing data sets
- Public speaking and polished presentation style
- Collaborative, team-oriented spirit
- Excellent written and verbal communication skills
- Customer/patient focused
- Operates with flexibility in changing business environment
- Proven track record on consistently achieving desired results
Preferred Qualifications
- Health system care delivery experience preferred
- Knowledge of value based care and population health
This position is a hub-based role which requires onsite presence. To be eligible for consideration, candidates must reside within a commuting distance to one of the following office locations: Madison, WI, Minnetonka, MN, or Omaha, NE. Onsite frequency is determined by business need as decided by leadership and may be up to 2-3 days a week.
The full salary range for this position is $98,400 - $168,600. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.