PGY1 Managed Care Resident

Location: Remote

Application Deadline: Friday, January 13th, 2023

The PGY1 Managed Care Resident supports initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients. Plays an active role in the development and maintenance of formularies for multiple lines of business. Helps to ensure safe and cost-effective medication therapy for our members.

About Capital Rx:

Capital Rx is a next generation pharmacy benefits manager, overseeing prescription benefit plans on behalf of employers, unions, and government entities. Determined to transform an outdated model, Capital Rx’s mission is to change the way prescription benefits are priced and administered in the US, unlocking enduring social change. Through our platform approach, Capital Rx delivers data-driven insights and actionable strategies that reduce costs, while improving patient outcomes. Our commitment to innovation, technology and service is the reason why Capital Rx is among the fastest-growing PBMs in the country.

Position Responsibilities:

• Support initiatives to maintain the drug benefit for commercial, Medicare, Medicaid, and health insurance marketplace clients
• Play an active role in the development and maintenance of formularies for multiple lines of business
• Analyze pharmacy cost of care, trends, and coordinate the development of appropriate utilization management edits including step therapy, prior authorization, and quantity limits
• Design pharmacy benefits for populations of patients based on client-specific elections
• Create pharmaceutical pipeline newsletters / publications / presentations
• Provide clinical resource including support of the prior authorization unit and clinical call center
• Analyze utilization data and creates reports for group plan sponsors (i.e. employers, labor unions, etc.) 
• Participate in the development and maintenance of clinical programs such as drug utilization review, medication therapy management, adherence, and disease management programs
• Evaluate industry data to improve existing clinical programs and make recommendations with a focus on clinical offerings and value proposition
• Support the clinical client management team, as needed
• Observe and participate in committee activities related to the pharmacy program
• Design, manage, and complete a clinical residency project for presentation at a conference with the intent to publish research findings
• Supervise pharmacy students and further develop the student program, including coordination with preceptors as needed
• Support quality improvement projects, as needed
• Support request for information and request for proposal submissions, as needed
• Support general business needs and operations, as required
• Please note: this residency program is completely virtual for the 2023-2024 year

Required Qualifications:

• Doctor of Pharmacy (PharmD) Degree from an accredited School of Pharmacy completed prior to start of residency program
• Strong academic performance with a minimum of 2.8 GPA and successful completion of all APPE rotations
• Licensed Pharmacist or eligible for licensure (must be licensed by September 30th of the residency year)
• Proficient in Microsoft office Suite with emphasis on Microsoft Excel
• Ability to balance multiple complex projects simultaneously
• Excellent communication and interpersonal skills, and ability to work with team members, executive management, and business partners in a polished and professional manner
• Ability to work independently, virtually, and in a team environment to produce solutions from concept to final deliverables required
• Familiarity working with large data sets
• Exceptional written and verbal communication skills
• Extremely flexible, highly organized, and able to shift priorities easily
• Attention to detail and commitment to delivering high quality work product

Stipend Minimum: $50,000

Stipend Maximum: $50,000

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic.