About Us: We’re Wellmark’s Pharmacy Services team, and we’re accountable for oversight of all clinical and operational facets of the Wellmark pharmacy program. This includes Wellmark's Pharmacy and Therapeutics Committee, which is responsible for guiding clinical decisions which are the foundations of a diverse pharmacy product portfolio. In addition, we oversee vendors and utilization management programs in order to successfully contain rising drug costs.
About The Role: We're hiring a brand new Pharmacy Specialist – Utilization Management (UM). This individual will be responsible for the daily, weekly, monthly, and periodic administrative functions necessary to update and maintain the UM programs for Wellmark’s line of business. This includes working with the Sr. Clinical Pharmacist – UM and PBM to make updates to UM criteria sets, identify affected members and providers, analyze decisions, and develop reports for leadership to demonstrate the effectiveness of the program.
Ideal candidates possess related pharmacy operations work experience, effective critical thinking and communication skills, and are proficient with Microsoft Excel. They’re naturally inquisitive, would enjoy the opportunity to develop a deep understanding of Wellmark's pharmacy operations, and are self-starters able to flex with changing priorities. Sound like a fit? Consider applying today!