Aetna is seeking a dedicated and experienced Pharmacy Benefit Manager to join our dynamic team in a fully remote capacity. The ideal candidate will play a critical role in overseeing and managing pharmacy benefit programs to ensure optimal clinical outcomes and cost-effectiveness. You will collaborate closely with healthcare providers, members, and internal teams to implement innovative strategies that enhance pharmacy services and improve patient care. This position involves analyzing data to identify trends, managing formulary design, and ensuring compliance with regulatory requirements. You will be responsible for developing relationships with pharmacy partners and guiding them in executing pharmacy benefit strategies that align with Aetna mission to promote health and wellness. Your expertise will be vital in driving initiatives that support medication adherence and optimize medication therapy management. This role offers a unique opportunity to influence the pharmacy landscape and contribute to the overall health of our members.

Key Responsibilities:

• Oversee pharmacy benefit programs and ensure alignment with clinical and business objectives.
• Develop and manage formulary design, utilization management programs, and pharmacy cost management strategies.
• Collaborate with healthcare professionals and pharmacy partners to optimize medication therapy management.
• Analyze pharmacy data to identify trends, opportunities for improvement, and cost-saving measures.
• Ensure compliance with federal and state regulations, including maintaining appropriate documentation.
• Implement initiatives to enhance medication adherence and patient outcomes.
• Lead and participate in cross-functional teams to address pharmacy-related issues and develop innovative solutions.
• Communicate effectively with internal and external stakeholders regarding pharmacy benefit policies and initiatives.
• Monitor and evaluate the effectiveness of pharmacy benefit programs, making recommendations for enhancements.

Required Skills and Qualifications:

• Bachelor degree in Pharmacy, Pharmacy Administration, Healthcare Management, or a related field.
• Active pharmacist license or equivalent credential.
• Strong analytical skills with proficiency in data analysis and reporting.
• Excellent communication and interpersonal skills, with the ability to work collaboratively in a team environment.
• Solid understanding of pharmacy benefit management, formulary design, and regulatory requirements.
• Proven experience in managing pharmacy programs and working with healthcare providers and pharmacy partners.

Experience:

• A minimum of 3-5 years of experience in pharmacy benefit management, clinical pharmacy, or a related healthcare field.
• Experience with formulary management, drug utilization review, and cost containment strategies.
• Familiarity with pharmacy benefit platforms and data analytics tools is preferred.

Working Hours:

• This is a remote position with flexible working hours. Candidates should be available during standard business hours, with the potential for occasional after-hours support as needed.

Knowledge, Skills, and Abilities:

• Strong understanding of pharmacy laws and regulations at the federal and state levels.
• Ability to interpret complex pharmacy benefit data and develop actionable strategies.
• Proficiency in utilizing pharmacy management systems and electronic health records.
• Capability to manage multiple projects and prioritize effectively in a fast-paced environment.
• Commitment to continuous professional development and staying current with industry trends.

Benefits:

• Competitive salary with performance-based incentives.
• Comprehensive health, dental, and vision insurance.
• Retirement savings plan with company match.
• Generous paid time off and flexible work arrangements.
• Continuing education opportunities and professional development support.
• Employee wellness programs and resources.

Why Join Aetna?
At Aetna, we are committed to fostering an inclusive workplace where innovation thrives. Joining our team means being part of a forward-thinking organization dedicated to improving healthcare delivery and outcomes. We empower our employees to make a difference in the lives of our members and the communities we serve. If you are passionate about pharmacy management and want to be part of a mission-driven company, Aetna is the place for you.

How to Apply:
Interested candidates should submit their resume and cover letter detailing their qualifications and experience through our careers page at Aetna Careers. We look forward to welcoming you to our team!