Professional Resident (Medicaid)

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health.  For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.  Our members are our neighbors, our friends, and our families.  It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.  About the Role This is a one-year, structured post-graduate education and training program in a Medicaid managed care HMO. The goal of the position is to provide advanced knowledge and skills regarding drug therapy and pharmaceutical services in a managed care environment. What You'll Do Responsibilities: Pharmacy case management. Development of therapeutic class reviews and drug monographs. Formulary development. Disease state management. Development of clinical policies. Prior authorization process. Drug utilization review. Outcomes research. Unique focus on government programs. Professional skills development and business administration. Assist with Pharm.D. student oversight. What You Bring Education/Experience: Requires a bachelor's of science degree in pharmacy from an accredited college or university. Requires a Pharm D from an accredited college or university. Letter of Intent Curriculum Vitae Three Letters of Recommendation Additional licensing, certifications, registrations: Active Unrestricted Pharmacist License Required Only If Making UM Decisions; NJ License Preferred. Knowledge: Requires knowledge of a spreadsheet software package. Requires knowledge of a database software package. Requires project management knowledge. Requires knowledge of internet clinical information databases. Skills and Abilities: Requires the ability to utilize a personal computer and applicable software. Requires the ability to think analytically. Requires excellent verbal and written communication skills. Requires strong organizational skills. Requires the ability to analyze medical literature, i.e. clinical trials This is a pipeline requisition for the 2027 Pharmacy Residency Program, not currently an open position. Why Horizon? At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth.  We believe that when our people thrive, our communities do too.  If you are passionate about making an impact, we’d love to hear from you! Salary Range: $44,600 - $59,745 ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions,…