Residents have the opportunity to

• Gain hands-on experience of specialty and medical drug management from a managed care perspective.
• Be a part of the clinical program innovation team and develop/enhance specialty clinical programs in therapeutic areas such as oncology, hemophilia and rare diseases.
• Consult with health plan clients about specialty and medical drug strategies.
• Develop an in-depth understanding of clinical operations, claims adjudication and pricing.
• Evaluate and balance clinical, financial and government considerations to produce patient-focused and therapeutically complete drug lists (formularies).
• Participate and present at P&T Committee meetings.
• Evaluate opportunities and design utilization management criteria to reduce drug misuse and improve member health outcomes.
• Develop a holistic specialty strategy, which includes management opportunities across both pharmacy and medical benefits.
• Learn about the latest developments in specialty pharmacy and broaden understanding of concepts such as value-based contracting, rebates and other innovative strategies.
• Use and expand your knowledge of strategies across Commercial, Medicare and Medicaid lines of business.
• Present your research at national conferences to senior leaders and industry stakeholders.
• Participate in conducting outreach to patients and providers for clinical programs that impact STAR and HEDIS measures.