Job BriefFull-timeMemorial Health System of Southwest Oklahoma - Gore Blvd. Lawton, OK 73505Compensation: Based on experienceDEFINITION:Under the supervision of the Pharmacy Director, all Pharmacy functions to be completed using the outlined policies, procedures and standards developed for providing the maximum level of services to assure that care is provided to all patients including adult, adolescent, pediatric and neonatal patients.POSITION SUMMARY:The Pharmacy Benefit Administrator is responsible for managing and overseeing all aspects of the pharmacy benefit program for Comanche County Hospital Authority's self-insured health plan. This position requires a licensed pharmacist who will optimize medication therapy outcomes while controlling costs, ensuring regulatory compliance, and providing clinical oversight of pharmaceutical services for plan members.EDUCATION:1.Must be a graduate of a College of Pharmacy accredited by the American Council of Pharmaceutical Education.REGULATORY REQUIREMENTS (IF APPLICABLE):Current Oklahoma Pharmacy License as a Registered Pharmacist.Must maintain licensure and meet continuing education requirementsPREFERRED QUALIFICATIONS:Knowledgeable in the specialized functions of retail pharmaciesStrong drug product and clinical pharmacy knowledgeComprehensive knowledge of pharmacology, therapeutics, and medication managementUnderstanding of pharmacy benefit design and management principlesStrong analytical skills with ability to interpret pharmacy claims dataKnowledge of pharmacy reimbursement methodologies (AWP, MAC, WAC, etc.)Familiarity with ERISA, HIPAA, and healthcare regulatory requirementsPrior retail experienceCurrent Oklahoma Pharmacy Preceptor LicenseCompleted a residency program accredited by the American Society of Health-System Pharmacists (ASHP)Board certification (BCPS, BCACP, or related specialty)Prior authorization or utilization management experienceExperience with formulary development and managementMBA or health administration degree
Job Title
Pharmacist - Pharmacy Benefits Administrator