Overview:

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.

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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.

Please refer the Job description for details