Pharmacist – Pharmacy Benefit Management

. Provide clinical support to OHSU Pharmacy Benefit Management Services .

Posted 9/25/2026full-timeRemote • Oregon • United StatesMid-LevelSenior💰 $158,617 - $240,191 per yearWebsite

Key responsibilities & impact

Provide clinical support to OHSU Pharmacy Benefit Management Services
Manage formularies, including adjudication, formulary decision-making, and benefit determination
Respond to and resolve clinical inquiries from members, clients, providers, and pharmacies regarding formulary options, therapeutic alternatives, and coverage determinations
Complete member prior authorization requests in collaboration with PBM Pharmacy Technicians
Coordinate with the pharmacy claims processor to implement formularies, clinical edits, and plan designs according to requirements
Develop and present drug monographs, executive summaries, therapeutic class reviews, and medication policies to Pharmacy & Therapeutics Committees
Use claims data to evaluate benefit design for inappropriate utilization and opportunities to improve outcomes and optimize drug spend
Work amid competing demands and frequent interruptions from PBM Technicians, clients, members, and other healthcare professionals

What you’ll need

Current Pharmacist’s license issued by the Oregon State Board of Pharmacy
Training or experience in a specialized area may be required at time of recruitment
Knowledge of drug therapy, including dosage, indications, and side effects
Knowledge of contemporary medication use systems
Ability to provide drug information through written and verbal consults and monographs
Interpersonal communication skills
Excellent organizational skills
Supervisory concepts for indirect reports
Problem-solving skills
Preferred: B.S. Pharmacy or Pharm.D.
Preferred: Pharmacy practice residency or three years equivalent work experience
Preferred: 2 or more years in a managed care, health plan, or pharmacy benefit management setting
Preferred: PBM operational experience
Preferred: Specialty pharmacy practice
Preferred: Pharmacy benefit design
Preferred: Pharmacy & Therapeutics Committee participation
Preferred: Medication policy development
Preferred: Pipeline development
Preferred: Project management skills
Must pass a drug test

Comp & perks