
Pharmacy Policy Executive
6 days ago
This critical role is pivotal in ensuring the safe and cost-effective delivery of pharmaceutical benefits. The ideal candidate will oversee the implementation of pharmacy policies and practices, aligning with regulatory requirements and company goals.
Key responsibilities include:
- Maintaining the Drug Database and related collateral to ensure medications listed for reimbursement align with Pharmacy and Product Policies.
- Providing expert pharmaceutical advice to product teams, ensuring compliance with private health insurance legislation and regulations.
- Ensuring adherence to PBS, TGA, and other regulatory standards relating to drug coverage and reimbursement.
- Reviewing and assessing high-cost drug claims for alignment with hospital agreements and health insurance policies.
- Analyzing pharmaceutical data to identify trends, risks, or potential claims leakage.
About the Role
We are seeking a Registered Pharmacist with a strong foundation in pharmacy practice and a strategic mindset. Ideal candidates will have:
- Registered Pharmacist with a Bachelor of Pharmacy (or equivalent).
- 5+ years' experience across clinical, hospital, community, or industry settings.
- Strong knowledge of high-cost medicines, funding frameworks, and relevant regulations.
- Strategic thinker with the ability to challenge the status quo and shape forward-looking initiatives.
- Skilled communicator with proven influence across senior leaders, clinicians, and operational teams.
- Adaptable problem-solver who thrives in complex environments.
Benefits and Culture
The organization is an equal opportunity employer, committed to ensuring equality in recruitment, development, retention, and promotion of staff. We encourage people from all backgrounds to apply.
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