Aetna Dir, Clinical Pharmacy in Hartford, Connecticut
Req ID: 39827BR
This leadership position would be to be part of a highly successful team responsible for Medicare formulary and clinical operational excellence. Expectations would be to work closely with Medicare Operations, formulary development and product teams in conjunction with our PBM to deliver accurate formulary and clinical claims adjudication meeting both our regulatory and business high standards for accuracy. In addition this director position would be involved in many Medicare projects as part of overall Medicare business strategy as a key subject matter expert and contributor.
5+ years Medicare managed care experience required.
In-depth knowledge and experience in Medicare managed care & PBM managed pharmacy.
Pharmacist degree (RPH or PharmD) & active licensure required.
Prior Medicare formulary & clinical operations audit experience required.
Strong understanding of Medicare guidance and practical application of requirements a must.
The highest level of education desired for candidates in this position is a Doctor of Pharmacy or equivalent.
LICENSES AND CERTIFICATIONS
Pharmacy/Licensed Pharmacist is required.
Managed Care/Managed Healthcare Professional is desired
Functional - Leadership/Lead significant enterprise-wide initiative/1-3 Years
Functional - Leadership/Act as company spokesperson to external constituents/1-3 Years
Full Time- consideration for any US location, training period in the office may be required
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Health Care