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Clinical Pharmacist, Payer Access

The Clinical Pharmacist, Payer Access is the internal expert on pharmacy benefit management solutions and their impact on patient access. This role will require strong pharmacy expertise and the ability to build cross-functional relationships, think analytically, and find solutions to complex problems. You will be instrumental in defining and growing solutions that have a profound impact on healthcare and patient access. This position will be based in our Columbus, OH office.


What You’ll Do

  • Serve as go-to pharmacist SME for cross-functional needs related to pharmacy benefit management solutions, drug access issues, and clinical workflows.
  • Participate in customer conversations and offer clinical expertise in support of business development, account, and implementation teams.
  • Partner with other product managers to engage in customer-facing discovery, optimize products, and develop new offerings.
  • Analyze existing programs and identify opportunities for improvements that benefit patients and take into account all key stakeholders of the CoverMyMeds network.
  • Monitor formulary changes, new drugs to market, and other market dynamics to inform current and future solutions.
  • Support thought leadership in the patient access space, including researching industry trends and writing white papers for publication or developing internal presentations to keep key stakeholders informed of issues that impact our business.
  • Stay connected in the industry by attending conferences or occasionally taking on speaking opportunities that support CoverMyMeds thought leadership.
  • Approach your role with a continuous improvement mindset and willingness to learn.
  • Become the expert on how to best leverage CoverMyMeds technology to reduce burden in the prescription journey, and drive better outcomes for patients.


About You

You are collaborative, adaptable, and willing to embrace challenges in your quest to help patients.


  • Pharmacy degree and 7+ years of experience in a health care or clinical role.
  • Experience working with pharmacy benefit management companies; specifically developing and delivering solutions in the formulary arena.
  • Must be a self-starter who is unafraid to take initiative, learn and analyze programs, and make recommendations.
  • Demonstrated experience understanding of pharmacy programs and workflows related to patient access, including but not limited to formulary strategy, utilization management, prior authorization, appeals, and benefits verification.
  • Exceptional interpersonal, written, and verbal communication skills.
  • Ability to operate both strategically and tactically, with strong technical acumen.
  • Ability to gain respect through indirect leadership and subject matter expertise.
  • Ability to consume and interpret quantitative and qualitative data from a variety of sources to inform decision-making.



  • PharmD and/or relevant clinical accreditation and experience.
  • Prior experience with medical benefit drugs and specialty medication access issues.
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