EpiphanyRx is breaking the traditional PBM mold by removing conflicts of interest (spread pricing and rebate retention) and instead providing an aligned, transparent model focused on the lowest net cost and overall value for our clients.
In our one-year Managed Care Pharmacy Residency, pharmacists provide pharmaceutical care to members working with middle-market employer groups and their pharmacy benefit program.
This program is designed for those seeking a career in managed care pharmacy, specifically pharmacy benefit management. It offers opportunities to develop key competencies and apply the skill sets and knowledge learned in pharmacy school to real-world practice.
Residency Program Responsibilities and Outcomes
✓ Evaluate member formulary disruption and provide transition recommendations for new pharmacy benefit clients and maintenance formulary changes.
✓ Understand and resolve member/client medication issues while collaborating with the EpiphanyRx Account Management team.
✓ Analyze clinical strategy for new drugs, biosimilars, generics and new formulations, including prior authorization criteria.
✓ Participate in formulary management from Medi-span drug updates, Formulary Advisory Committees, and Pharmacy and Therapeutics Meetings.
✓ Identify specialty medications, unique management strategies around them, and engage with Lumicera pharmacists to facilitate EpiphanyRx cases.
✓ Understand the benefits of a medical carve-out program and what drugs are commonly included on a medically administered formulary.
✓ Draft client facing and member centric clinical and formulary communication materials.
✓ Assist in preparing for and presenting client quarterly reviews.
✓ Conduct cost-effective analysis for new high-cost specialty drugs.
✓ Become familiar with pharmacy claims adjudication and benefit configuration set-up.
✓ Present a clinical in-service topic monthly to the EpiphanyRx team.