Clinical Operations and Analytics: Learn benefit design and utilization management strategies. Understand claims adjudication. Perform cost savings and member impact analyses.
Health Outcomes and Clinical Products: Perform budget impact modeling. Contribute to clinical quality programs to improve HEDIS and CMS Star Ratings.
P&T and Clinical Drug Information: Develop and present monographs and formulary management recommendations to MedImpact’s national P&T Committee. Monitor and evaluate the Clinical Pipeline.
Specialty Clinical Management: Use advanced analytics to identify and improve specialty drug utilization to promote clinical quality and mitigate waste. Provide clinical oversight of specialty pharmacies.
Clinical Account Services: Directly support clients by developing and implementing quality and cost saving initiatives. Analyze and manage drug trend drivers across all lines of business. Manage custom formularies.
Pharmacy Network Management: Understand the strategies involved with contracting, implementing, and managing pharmacy networks.
Clinical Prior Authorization: Evaluate prior authorization requests for appropriate use. Understand the regulatory requirements governing prior authorization review.
Utilization Management and Quality Assurance: Perform quality oversight of utilization management staff and develop quality improvement initiatives. Support regulatory and client oversight audits.
Medication Use Management: Perform case management for high-risk members of a Prescription Drug Plan (PDP) to ensure quality care.
Direct Patient Care: Advance your clinical pharmacy skills through the provision of direct patient care.
Leadership and Professional Development: Learn how to lead a team, hire and onboard staff, and overcome obstacles faced by new managers. Develop presentation skills and lead meetings.
Residency Project: Complete a research project with members of the Health Outcomes team.
PharmD and official transcript from an accredited school of pharmacy
Eligible for licensure in California
Letter of intent
Three letters of recommendation
Must be registered in American Society of Health-System Pharmacists (ASHP) Residency Matching Program
MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded employers and government entities. Our business model is unique. We focus on effectively managing client pharmacy benefits to promote Lower Cost and Better Care through One Source. Our model aligns us with our clients. We help promote prescribing of lower-net-cost, medically appropriate drugs with fulfillment at the most appropriate participating pharmacy providing competitive pricing, good value and high-quality service.
Founded in 1989, MedImpact provides pharmacy services for more than 50 million lives in the U.S. and abroad while processing in excess of 430 million claims annually.
MedImpact is headquartered in San Diego, California, nicknamed "America's Finest City." Besides having one of the world's most favorable climates, San Diego has broad commercial, cultural, and recreational appeal, offering a wealth of diverse activities.
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