PADR Pharmacist - Facility Program Manager
The Pharmacy Benefits Management (PBM) PA Formulary Manager position is of high visibility and represents Legacy Veterans Integrated Service Network (VISN) 21's wide efforts to improve medical care. He/she will exercise initiative and collaborate effectively with clinical and administrative staff at the Legacy VISN 21 and VA facility level to promote and support quality patient care.
Some of the duties include but are not limited to: Using knowledge of VA formulary and clinical guidelines: reviews, adjudicates and provides education to prescribers to assist in optimizing clinical care to meet safety, clinical, quality or regulatory requirements. Consults with contracted care providers outside VA for contracted care to obtain information necessary to adjudicate prior authorization requests. Provides education to non-VA providers on VA formulary selection and informs supervisors of non-VA providers who continually are outlier prescribers. Integrates smaller scale educational concepts for time-sensitive campaigns to change prescribing patterns. These include, but are not limited to: PBM updates, polypharmacy containment, formulary process and controls, and approved drug conversions. Leads/Serves as an authoritative PBM representative on VISN Committees and workgroups. Critically reviews prior authorization drug requests from all VAMCs for appropriateness, utilizing clinical knowledge, National and VISN treatment guidelines, drug use criteria, and relevant literature and resources. Collaborates with PA Data Analyst, National and VISN PBMs to conduct prospective/retrospective drug use evaluations of high-risk, high-use or high-cost drugs. Serves as subject-matter-expert (SME) to VAMC providers and administration for questions regarding National criteria for use, treatment algorithms and VA National Formulary. Collects, monitors and utilizes feedback to monitor program outcomes, including cost-containment, healthcare resource utilization, satisfaction and clinical outcomes; provides feedback or successes for continued motivation and support for any necessary changes. Consistently responds to VISN PBM program inquiries, medication or other relevant requests in a timely, accurate, friendly, and professional manner across the spectrum of PBM internal and external customers. Work Schedule: Monday - Friday, 8:00am - 4:30pm PST (Subject to change to meet organizational needs) Telework: Ad-hoc per policy. Virtual: This is not a virtual position. Functional Statement #: 07979-F Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized
You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement.