Clinical Adjudication Jobs (NOW HIRING)

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Rx Savings Solutions (RxSS), part of McKesson's CoverMyMeds prescription technologies business segment, offers an innovativepatented software system that educates and empowers consumers to make the best healthcare choices at the lowest cost. Founded and operated by a team of pharmacists and software engineers, we support a collaborative, cost-saving solution for purchasing prescription drugs.

TheClinical Pharmacist - Salesprimarily serves business development as a Clinical Pharmacist on the Clinical Advisory Team responsible for providing clinical and industry expertise to the Sales (Employer, Health Plan, Consultant/Broker, State/Local Government) team.The Clinical Pharmacist also provides industry guidance and support to the Revenue Demand Generation team as needed. This is a client facing role requiring skills that leverage clinical expertise, knowledge of competitive landscape, strategic thinking, quantitative analysis, and a clear understanding of key business objectives.

This role requires up to 35% business travel and is primarily office-based in Overland Park, Kansas. We would prefer a local candidate with the ability to work in office/hybrid but may consider a well-qualified fully remote individual.

What You'll Do:

• Provide clinical and industry expertise to the Sales (Employer, Health Plan, Consultant/Broker, State/Local Government) team on a day-to-day basis

• Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell prospecting and partner presentations

• Collaborate with commercial teams to continuously develop clinical strategies and opportunities to drive value with prospects and current clients

• Support revenue demand generation with clinical content such as webinars, blog posts, clinical content updates, public speaking, and specific engagement campaigns when needed

• Act as a voting member for the P&T Committee

• Perform other duties as reasonably requested by department leadership

Basic Requirements:

• Doctorate in Pharmacy from an accredited college or university, or RPh, and typically requires 4+ years of pharmacy industry experience with proven ability to communicate with internal and external stakeholders to provide overall clinical support to both clinical and non-clinical teams

• Valid Pharmacist license

• Previous success within clinical teams in managed care pharmacy, pharmacy consulting, health system, or pharmacy benefit manager environments

• Previous technical work experience with Microsoft OfficeSuites, data visualization software, data analytics reporting, and pharmacy adjudication platforms

Preferred Skills /Experience

• Experience and demonstrated success in a team selling environment for employer groups, pharmacy consultants, and state/local governments

• Understanding of pharmacy benefit design, managed care pharmacy for Commercial lines of business, pharmacy adjudication processes, formulary design, utilization management edits, pharmacy networks, clinical compendia for decision support, FDA approval process, medical and pharmacy rebates, pharmaceutical market access strategies

• Demonstrated success in client facing role(s) or public speaking specifically on clinical, industry, or thought leadership in the field of pharmacy

• Experience with PBM clinical programs, specialty and channel management, Medication Therapy Management (MTM), case management programs, and/or academic detailing to providers

• Demonstrates effective communication and listening skills, with the ability to efficiently problem solve novel situations in collaboration with teams from different departments

• Desire to evaluate, prioritize, develop, and lead innovations that require managing both short- and long-term initiatives to optimize RxSS procedures and future offerings

• Desire to work directly withdata files, pharmacy claim utilization, and data visualization software to research, investigate, and develop sound business strategies

• Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution and troubleshooting capabilities

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.

Our Base Pay Range for this position

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.

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