Clinical Pharmacist

TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care.

Did we mention Amazing Care? Good!

Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy.

Our team members enjoy

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k program with 6% match
• TrueScripts is an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• A cohesive, family-based culture
• Charitable contributions and volunteer time
• Lots of celebrations!

Ok, enough about us. Here’s what we need from you: A future team members’ values need to align with TrueScripts’ core values of Integrity, Respect, Innovation, and Service. This match in value systems is critical for our team’s chemistry and continued success. Our culture is positive, and our people possess a ‘can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed.

The Clinical Pharmacist supports the development, implementation, analysis, and ongoing management of clinical programs designed to improve prescription drug utilization, reduce unnecessary pharmacy spend, and deliver meaningful value to clients and members.

This role combines clinical pharmacy knowledge, data analytics, and program management to evaluate the impact of proposed clinical strategies, identify potential member disruption, and maintain accurate drug lists and clinical criteria for various clinical programs. The Clinical Pharmacist partners closely with Clinical, Operations, Analytics, Client Services, and other internal teams to ensure programs are clinically appropriate, operationally effective, and aligned with client needs.

Clinical Program Support & Development

• Support the design, implementation, maintenance, and ongoing evaluation of clinical utilization management programs.
• Collaborate cross-functionally on all aspects of formulary management.
• Assist in developing clinical criteria, program requirements, drug coverage guidelines, and supporting documentation.
• Evaluate medications, therapeutic alternatives, utilization patterns, and emerging clinical strategies to identify opportunities for improved utilization management.
• Collaborate with Clinical and Operations teams to translate clinical program requirements into actionable workflows and operational processes.
• Monitor program performance and recommend adjustments based on clinical evidence, utilization data, financial impact, and client needs.
• Support the development of program materials, internal training, and clinical guidance for team members and client-facing teams.

Member Disruption Analysis & Clinical Data Review

• Conduct member disruption analyses to evaluate the potential impact of proposed formulary changes, drug exclusions, utilization management requirements, and other cost containment strategies.
• Identify impacted members, affected medications, alternative therapies, and potential clinical or operational concerns associated with program implementation.
• Analyze prescription utilization and pharmacy claims data to estimate potential cost savings, identify utilization trends, and assess program effectiveness.
• Partner with internal teams to validate analysis, investigate discrepancies, and communicate findings and recommendations to support informed business decisions.
• Help identify opportunities to minimize unnecessary member disruption while supporting appropriate utilization and cost management.

Drug List & Clinical Criteria Management· Develop, maintain, and update drug lists supporting cost containment programs, including drug inclusions, exclusions, preferred alternatives, and applicable clinical criteria.· Research medications, therapeutic classes, FDA-approved indications, clinical guidelines, and relevant evidence to support drug-list decisions.

• Ensuring drug lists and associated program documentation are accurate, consistent, appropriately version-controlled, and communicated to relevant stakeholders.
• Coordinate drug-list updates with applicable Clinical, Operations, Analytics, and technology teams to support accurate system configuration and implementation.
• Investigate drug-list discrepancies and help resolve issues affecting program setup, claims processing, reporting, or member experience.
• Establish and maintain documentation supporting clinical decisions, program changes, and ongoing maintenance.

Cross-Functional Collaboration & Continuous Improvement

• Partner with Analytics and Operations to support program modeling, implementation readiness, reporting, and performance monitoring.
• Work with Client Services and other internal stakeholders to explain clinical program design, anticipated impacts, and support rationale.
• Identify opportunities to improve processes, increase efficiency, strengthen program accuracy, and expand cost containment capabilities.
• Support the development of scalable clinical processes and documentation that enable the organization to grow while maintaining quality and consistency.
• Perform other related duties as assigned.

Requirements

• Active pharmacist license in good standing in the state of residence, with the ability to obtain additional licensure as required by the role.
• Experience evaluating medication utilization, clinical appropriateness, therapeutic alternatives, or pharmacy cost management opportunities.
• Strong analytical and problem-solving skills, including the ability to interpret complex clinical and utilization data.
• Strong attention to detail and the ability to manage multiple priorities, deadlines, and program updates.
• Excellent written and verbal communication skills, including the ability to explain clinical concepts to nonclinical audiences.
• Ability to collaborate effectively across clinical, operational, analytical, and business teams.
• Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy from an accredited college or school of pharmacy.

Preferred

• Experience in pharmacy benefit management (PBM), managed care, health plan, formulary management, or pharmacy cost containment.
• Experience conducting member disruption analyses or evaluating the impact of formulary and utilization management changes.
• Familiarity with pharmacy claims data, drug identifiers such as NDCs, therapeutic classifications, and medication utilization trends.
• Experience maintaining drug lists, clinical criteria, formulary files, or medication coverage policies.
• Proficiency with Excel and experience working with reporting tools, databases, or business intelligence platforms.
• Experience evaluating clinical program performance and identifying opportunities for measurable cost savings.