Job Information
Novant Health Pharmacy Benefits Specialist in Winston Salem, North Carolina
Overview
NOVANT CORPORATE PHARMACY
PHARMACY BENEFITS SPECIALIST
Novant Health is an integrated system of physician practices, hospitals, outpatient centers, and more – each element committed to delivering a remarkable healthcare experience for patients and their families. With world-class technology, personal connections, and care that’s easier to access and understand, Novant Health is with patients every step of the way on their journey to health and wellness.
The Pharmacy Benefits Specialist at Novant Health works closely with the Pharmacy Benefits Manager (PBM), Benefits Consultant(s), and the People and Culture team to provide Novant Team Members with a remarkable experience. This role involves scrutinizing pharmaceutical trends and drug usage patterns to identify cost-effective medication alternatives, routinely assessing pharmacy benefit contracts, pinpointing opportunities for clinical programs, and acting as the go-to expert on pharmacy benefits. In addition, the specialist designs educational initiatives to boost comprehension of pharmacy benefits and compiles pharmacy benefit data for strategic planning purposes. They ensure that the employee pharmacy benefit aligns with the pharmacy’s strategic plan and aids in the appraisal and application of tools to enhance the efficiency of benefit administration. The specialist is also a member of cross-functional teams that evaluate and suggest modifications to the formulary and coverage policies.
Remote opportunity within our approved hiring footprint.
Why Novant Health?
Come join a remarkable team where quality care meets quality service, in every dimension, every time. Let Novant Health be the destination for your professional growth, as you take part of a remarkable pharmacy team and advantage of the unique opportunities, within an innovative integrated health system!
8 Magnet Designated Hospitals
LeapFrog Grade “A” Ratings at Novant Health facilities
Novant Health is recognized as one of the Best Places to Work for Disability Inclusion, Forbes Best Employers for Women in 2020, Leaders in LGBTQ Healthcare Equality and 50 Best Places for Women and Managers of Diverse Backgrounds to Work.
#JoinTeamAubergine #NovantHealth #Pharmacy #pharmacybenefitsmanager #NHClinPharmacist #pbm
At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
#novanthealthallied
Qualifications
Education: 4 Year Bachelor's Degree in Pharmacy or PharmD, required. Master's degree in healthcare/business administration or related field, preferred.
Experience: Registered pharmacist with 5 years pharmacy practice experience, required. Two years of applicable pharmacy benefits, managed care, or applicable clinical and business experience; preferred.
Licensure/Certification: Licensed to practice pharmacy (RPh or PharmD) in the applicable state(s) and in good standing with the board of Pharmacy(ies), required.
Additional Skills Required: The Pharmacy Benefits Specialist assumes responsibility for:
Collaborating with the Pharmacy Benefits Manager (PBM), Benefits Consultant(s), and People and Culture to develop, implement, and administer the pharmacy benefit program for Novant Health Team members.
Supporting the Healthy Lifestyles Program (HLP), and other health and wellness benefit programs for Novant Health Team members in collaboration with People and Culture.
Analyzing pharmaceutical trends, formularies, and drug utilization patterns to optimize cost-effective medication options while maintaining quality patient care.
Conducting regular reviews of pharmacy benefit contracts, negotiating agreements to optimize cost savings, and assess contract performance metrics.
Serving as the subject matter expert on pharmacy benefits and providing guidance to internal stakeholders, including clinicians, pharmacists, and other healthcare professionals, regarding benefit coverage and medication-related inquiries.
Developing and delivering educational programs or materials for employees, and healthcare providers to enhance understanding of pharmacy benefits, drug utilization, and cost-effective medication alternatives.
Preparing and interpreting pharmacy benefit data, analyzing and presenting findings to stakeholders to support decision-making and strategic planning related to the pharmacy benefit plan.
Ensuring that the employee pharmacy benefit aligns with the pharmacy strategic plan, including initiatives of the pharmacy operations team, the value and outcomes team, and the pharmacy business team.
Partnering with the PBM to develop and manage prior authorizations, step therapy programs, and medication adherence initiatives, ensuring appropriate utilization and controlling costs.
Assisting in the evaluation, selection, and implementation of vendors, software, or tools to streamline processes and improve efficiency in benefit administration.
Participating in interdisciplinary teams to review and recommend changes to the formulary, coverage policies, high utilizer workgroups, or benefit design to align with evolving healthcare landscape and patient needs.
Communicate pharmacy benefits design changes with relevant operational teams.
Additional Skills Preferred: Excellent verbal communications skills. Displays excellent computer, writing, and editing skills. Ability to work collaboratively with other health care professionals and lead change. Ability to organize and determine work priorities and delegate appropriately. Possesses consulting skills. Is team-oriented, supportive, and cooperative. Uses appropriate decision-making strategies: authoritative, consultative, consensus. Exhibits self-direction, independent practice, and excellent time management skills. Able to continuously re-prioritize, demonstrate flexibility, and process multiple issues simultaneously. Creates an environment that supports and respects diversity, modeling behavior and language that is inclusive, and nurturing an environment where it is acceptable to discuss differences and issues of diversity. Has a questioning attitude. Ability to drive/travel to multiple locations/facilities as needed.
Responsibilities
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
Our team members are part of an environment that fosters team work, team member engagement and community involvement.
The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
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Learn more about Novant Health
Job Location NC-Winston-Salem
Job Opening ID 4004
Facility CBS - Consolidated Building II
Department Novant Corporate Pharmacy
Work Schedule 8:00am-5:00pm
Category Allied Health