Clinical Pharmacy Specialist, Pharmacy Benefits Manager (VIVO Health)

**Req Number** 171104

**Job Description**

The Clinical Pharmacy Specialist is responsible for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug therapy guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent. This role involves critical evaluation of clinical literature, pharmacoeconomic data, and regulatory requirements to support P&T Committee decisions and ensure cost-effective, high-quality pharmaceutical care for plan members.

**Job Responsibility**

+ Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and Therapeutics Committee; monitors medication utilization effectively and intervenes when necessary to ensure compliance.
+ Monitors pharmacists activities regarding utilization surveillance and provides instruction/education a...