• Unique pharmacy practice setting that allows staff to develop and use a variety of skills and experience
• Rare pharmacist position that is primarily Monday – Friday during business hours with limited evening or weekend requirements.
• Opportunity to impact healthcare outcomes and cost for large populations through policy and program development and implementation
• Opportunity to work a in person, hybrid, or remote work environment
• Starting salary range based upon skills and experience: $116,800 - $146,000 annually + total rewards package

• Benefit Management Services & Clinical Operations:
  • Participate in process to evaluate medication exception requests for coverage of non-formulary or restricted medications and make decisions based on the patient’s clinical situation, relevant policies, and the patient’s specific benefits, in accordance with CMS and NCQA standards. This may include evaluation and making determinations on weekends and holidays.
  • Participate in the analysis of medications for Quartz Health Insurance Drug Formulary to include critical evaluation of drug literature and FDA data, consultation with experts, consensus building amongst practitioners, analysis of impact on relevant populations, consideration of utilization management tools available, and incorporation of economic data.
  • Participate in the development, implementation, and measurement of clinical practice guidelines and quality programs, including drug-based (prescribing) guidelines, and disease-state-based guidelines.
  • Serve as subject matter expert and provide expertise and assistance to Quartz departments.
• Clinical and Financial Management
  • Participate in the development, implementation, maintenance, and monitoring of drug policies related to the coverage of medications for Quartz.
  • Work with Quartz’s claims processors and other necessary vendors to implement, QA (quality assurance), and monitor drug policy and benefits changes for pharmacy benefits and medical benefits.

• Bachelor’s degree in Pharmacy or PharmD degree
• Completion of an ASHP Accredited Residency training program preferred
• 1+ years of clinical patient care and prescription orders management experience
• 1+ years of managed care or pharmacy benefit management experience
• 3+ years of institutional experience (hospital or integrated health system) or completion of an ASHP accredited residency training program
• Ability to learn computer and application skills as applicable to role
• Ability to interact and work around people, effective communication skills, and listen empathetically
• Ability to react to frequent changes in duties and volume of work
• Ability to make judgements in demanding situations
• Ability to logically organize details
• Comfortable accepting responsibility for medium to large scale projects involving multiple resources and spanning many months from start to finish
• License or eligible for licensure to practice pharmacy in state of WI
• License in other state to support regulatory compliance for Quartz may be required after hire

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. All employment offers are contingent upon successful completion of a pre-employment criminal background check and drug screening.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.