Pharmaceutical Services Consultant - Conduent Heritage, LLC : Job Details

As the Pharmaceutical Services Consultant, you will manage and deliver contractual reports, documents, and deliverables to the Client related to the pharmacy retrospective drug utilization review (RDUR) program. You will alsoserve as the clinical resource to clients and others within the company. You will be accountable for confirming that operations are carried out productively, profitably, and sustainably.

Responsibilities

• Providing technical expertise and assistance for the support of pharmacy activities i.e., prior authorization, retrospective Drug Utilization Review (DUR), medication therapy management, and drug rebate.
• Making clinical recommendations: As the primary clinical resource to the client you will proactively bring new drug criteria to the department with recommendation on coverage, clinical criteria pharmacoeconomics and pharmacy practice guidelines including RDUR criteria.
• Providing ad-hoc query results to the client in support of clinical program recommendations.
• Managing important contract subsections and deliverables and works directly with the client as needed.
• Developing clinical recommendations based on contract or client needs.
• Attending and contributing to the Conduent Clinical Services meeting, bringing back weekly recommendations to the Client and leading scheduled client meetings, incorporating information from Conduent Clinical meetings and other sources.
• Reviewing requests for prescription drug services and complex member cases as well as participating in efforts to improve performance measures.
• Facilitating required reports and client requests for ad-hoc queries using Cyberformance and any other Client reporting tools.
• Retrospective drug utilization review: Rules and Research.
• Conducting research as needed to implement new RDUR interventions, creating ad hoc reports, and answering client, provider, and staff inquiries.
• Working with the RDUR team to maintain current interventions based on updates to clinical guidelines and treatment recommendations.
• Completing RDUR deliverables and is a resource with RDUR clients for research, questions, and other DUR Board requests.
• Traveling and presenting to DUR Boards as required.
• Release Management: Assisting in the design and QA of new interventions, functionality, and reports in electronic RDUR tools.
• Leading functional teams or projects.
• Managing Client expectations and requests.

Requirements

• A Pharm. D. degree in pharmacy is required.
• Must have a state pharmacy license.
• Advanced clinical knowledge with at least 3 years of PBM experience required.
• Basic understanding of federal rebate requirements.
• Preference given for individuals with understanding of CMS guidelines on Medicaid, particularly those that govern drug coverage for Medicaid under Title XIX, SSA section 1927.
• Analytical and problem-solving experience required.
• Good written and oral communication skills required.
• Ability to review, analyze, and apply literature to specific therapeutic situations.
• Demonstrates to be a strategic thinker with ability to formulate, develop and execute clinical strategies
• Functions autonomously, rarely needing assistance with routine assignments.
• Examines own performance and takes every opportunity to improve. Is a fully participating team member.
• Shares/uses suggestions for performance.
• Manages time effectively.
• Consistently uses methods that are efficient.
• Have proficiency with Excel, Word, MS Teams, and general computer skills.

Flexible WorkingAt Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too. In this role, you can expect the following working conditions:

Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.

Working For YouPerks and rewards designed for you:•Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.• Retirement Savings: We will support you as you save for your future.• Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.• Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.• Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.• Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.• Great Work Environment: We are proud of our award-winning culture and the recognition we've received for our diverse efforts.Join UsAt Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can:Bring your authentic self to work.Grow and thrive, both personally and professionally.Make a difference with our clients, in our communities, and with the millions of people we support.When you join Conduent, you are engaged in creating the future - both our company's and your own. With more than 60,000 associates across 24 countries, we will provide you with the opportunity to grow with a team of people who will challenge and inspire you to be the best!

Pay Transparency Laws in some locations require disclosure of compensation-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time. The estimated salary range for this role is $100,100-$130,000.