Graduate of an ACPE-accredited College of Pharmacy
Current Oklahoma Pharmacy License
Strong knowledge of pharmacology and therapeutics
Experience with pharmacy benefit design and management
Analytical skills for interpreting pharmacy claims data
Familiarity with ERISA and HIPAA regulations
Responsibilities
Manage pharmacy benefit program for the self-insured health plan
Optimize medication therapy outcomes while controlling costs
Ensure compliance with all regulatory requirements
Provide clinical oversight of pharmaceutical services for plan members
Develop and manage formulary processes
Analyze and interpret pharmacy claims data
Benefits
Comprehensive health benefits
Continuing education support
Opportunities for professional development
Engagement in a supportive work environment
Collaboration with a multidisciplinary team
Full Job Description
Job Brief
Full-time
Memorial Health System of Southwest Oklahoma - Gore Blvd. Lawton, OK 73505
Compensation: Based on experience
DEFINITION:
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 requirements
PREFERRED QUALIFICATIONS:
Knowledgeable in the specialized functions of retail pharmacies
Strong drug product and clinical pharmacy knowledge
Comprehensive knowledge of pharmacology, therapeutics, and medication management
Understanding of pharmacy benefit design and management principles
Strong analytical skills with ability to interpret pharmacy claims data
Knowledge of pharmacy reimbursement methodologies (AWP, MAC, WAC, etc.)
Familiarity with ERISA, HIPAA, and healthcare regulatory requirements
Prior retail experience
Current Oklahoma Pharmacy Preceptor License
Completed 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 experience
Experience with formulary development and management
