Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.
This role will be divided into two areas: external clinical outreach activities related to high cost case management and prior authorization of specialty medications, with focus on oncology medications. In addition, this role will have the opportunity to evaluate the data to identify actionable opportunities for specialty management and create clinical policies.
The Clinical Pharmacist is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit, with a focus on oncology. This individual will be able to successfully communicate with physicians, nurses, pharmacists and members related to high cost case concerns, dose management, genetic testing, therapeutic substitutions and cost management related to specialty drugs. Clinical subject matter expert is required to conduct peer to peer consultations with physicians.
Develop and deliver clinical messages to physicians, members, clients and consultants.
Manage prior authorization, high cost cases, claims editing and clinical policy development.
Clinical program development including both medical and pharmacy benefit management
Define, document, and deliver results for plan sponsors.
Evaluate and summarize clinical literature as well as financial implications related to management options, with specialization in oncology.
Ability to present deep clinical and cost effectiveness information as a peer-to-peer consult.
Doctor of Pharmacy (PharmD)
Current pharmacist license (RPh) in good standing with a State Board of Pharmacy
Board Certified Oncology Pharmacist (BCOP)
Pharmacy and Medical specialty benefit knowledge and experience
Independent, proactive, forward-thinking, creative problem solver, results-oriented
Ability to work well in team environment
Strong verbal/written communication skills
Strong physician-facing clinical communication skills
3-5 years clinical or managed care experience
Microsoft Excel, Power Point and Word proficiency
Telecommuting is allowed.
Internal Number: 1029
Archimedes offers analytic and technology-based specialty drug management services for plan sponsors to help control the growing cost of specialty. These services include Business Intelligence and Reporting, Prior Authorization Services, Site of Care Management, Fee Schedule Management, Medical Claims Editing, Retrospective Drug Utilization Review, Medical Copay Assistance and Specialty Rebates. These services are provided to employers, health plans, health systems or other plan sponsors.