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Working Title: Drug Utilization Review Program and Value Based Contraction Program Lead Pharmacist

Job Class: Pharmacist Senior

Agency: Human Services Dept

+ **Job ID** : 87398

+ **Location** : St. Paul

+ **Telework Eligible** : Yes

+ **Full/Part Time** : Full-Time

+ **Regular/Temporary** : Unlimited

+ **Who May Apply** : Open to all qualified job seekers

+ **Date Posted** : 07/09/2025

+ **Closing Date** : 07/22/2025

+ **Hiring Agency/Seniority Unit** : Human Services Dept / DHS Health Trt Prf

+ **Division/Unit** : Health Care Administration / Purchasing and Service Delivery

+ **Work Shift/Work Hours** : Day Shift / 8:00am - 4:30pm (flexible)

+ **Days of Work** : Monday - Friday

+ **Travel Required** : No

+ **Salary Range:** $56.50 - $83.11 / hourly; $117,972 - $173,533 / annually

+ **Classified Status** : Classified

+ **Bargaining Unit/Union** : 213 - Health Treatment Professional/Unrep

+ **FLSA Status** : Exempt - Professional

+ Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS does not participate in E-Verify.

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

This position is eligible for telework for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.

This position exists to provide expertise in provider relations, clinical pharmacy analysis and the pharmaceutical industry to the Department of Human Services Pharmacy Program & Medicaid Decision Support Division.

The employee is responsible for:

+ Overseeing the Drug Utilization Review program in compliance with federal regulations.

+ Managing the Drug Utilization Review Board, and public meetings, in compliance with state and federal requirements.

+ Overseeing Prime Therapeutics’ execution of the Drug Utilization Review program contract requirements.

+ Preparing, coordinating and submitting the federal Drug Utilization Review annual report to the Centers for Medicare & Medicaid Services.

+ Overseeing aspects of drug and non-drug product value-based contracting (VBC) negotiations.

+ Develop and implement prior authorization criteria for new and existing drug therapies within the context of VBC arrangements.

+ Serve as cross coverage for the divisions other pharmacists during Medicaid Enterprise System (MES) modernization efforts.

+ Work with appropriate department staff and a contracted vendor to operate a supplemental rebate program for the VBC arrangements.

+ Ensure compliance with all applicable federal and state statutes and regulations.

+ Assist in other activities of the Pharmacy Program, such as the state maximum allowable cost (MAC) program, and the Drug Rebate Program.

Minimum Qualifications

+ Must be licensed to practice pharmacy by the State of Minnesota.

+ Bachelors of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.

+ Three (3) years of relevant clinical experience in direct patient care or Health Plan/Prescription Benefit Management/Managed care.

Preferred Qualifications

+ Knowledge of data collection and analysis and an ability to use data to drive clinical and business decision-making

+ Experience in administering a Drug Utilization Review program

+ Experience practicing in the oncology or gene therapy setting

+ Board certification in Oncology Pharmacy (BCOP) or eligibility for BCOP

+ Excellent verbal, non-verbal and written communications, including public speaking

+ Variety of experiences working effectively with others from different backgrounds and cultures

Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email [email protected] . Please indicate what assistance is needed.