Managed Care Pharmacy
Become a Managed Care Pharmacist
The Managed Care Pharmacy Concentration includes six (6) credit hours in didactic
elective coursework in relevant topics including population-based care, with experiential
training focusing on managed care pharmacy. Graduates can also pursue PGY-1 residency
programs specializing in managed care pharmacy.
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What is a managed care pharmacist?
Managed care pharmacists evaluate and develop plans to optimize individual- and population-based
health outcomes while balancing available resources. Managed care pharmacists work
for pharmacy benefit management companies, health insurance and health plan companies,
accountable care and managed care pharmacy organizations, such as Aetna, Cigna and
What is managed care pharmacy?
Pharmacists working in managed care pharmacy assist in the development of pharmacy
benefits for health plans, design and implement clinical programs based on the latest
clinical evidence, manage quality and cost-effectiveness of treatments and help ensure
patient safety through processes designed to identify unsafe medications or drug interactions.
Which courses will I take for the managed care pharmacy concentration?
The Managed Care Pharmacy Concentration requires the completion of six (6) credit
hours of elective coursework. Students will complete two, one-credit managed care
courses per term in the third year (six courses for a total of six credits). Current
course offerings are listed below and are subject to change. Consult the course catalog for additional information.
Health Care Informatics
This course will advance students’ understanding of the specific role of clinical
informatics in patient safety and health outcomes with an emphasis on pharmacy-driven
medication use processes in health systems. Students will develop the knowledge and
skills to assume responsibility for identifying, accessing, retrieving, creating and
exchanging relevant patient and health information to ensure safe and effective patient
care throughout the medication use process. Attention is given to the roles and responsibilities
of the pharmacy informatics in information technology and automation to improve accessibility
of information from practice advancement. This course may incorporate lectures, readings
assignments, participatory discussions, homework assignments and student presentations.
Drug Pricing, Contracts and Marketing
In the current information age, pharmaceutical marketing is vastly different given
the increasing presence of the internet and social media, company consolidation, and
regulatory changes throughout the last decade. Not only have the number of blockbuster
medications produced by Pharma decreased, but so has the presence of directed sales
representatives in physician offices. Therefore, pharmaceutical and health care industry
marketers must work harder and smarter to maximize every product’s or service’s potential.
This course will examine the current pharmaceutical marketing environment from both
an academic and practical perspective and give students the opportunity to gain a
deeper understanding of the business and regulatory aspects of the pharmaceutical
This hands-on course provides an overview of the basic economic and statistical modelling
techniques in healthcare. Specifically, this course will introduce techniques of how
to manage and analyze a healthcare database for conducting any economic modeling in
healthcare. This course may incorporate lectures, readings assignments, homework assignments
and student presentations to accomplish these goals.
Leadership in MCO, PCMHs, and ACOs
This course prepares students with a deeper understanding of the needs and challenges
of contemporary managed care and team-based health care delivery models. Pharmacy
and pharmacist roles are growing rapidly, requiring pharmacist leaders in advancing
value-based health care outcomes and maximizing patient care. Special emphasis will
be placed on providing practical and real-world leadership strategies needed to interact
effectively as a managed care team member.
This course presents students with a systems approach to post-market monitoring of
safe and effective use of medications. Students will be exposed to adverse-drug reaction
reporting systems and regulatory affairs for pharmaceutical manufacturers, payors,
and pharmacy benefit managers.
Entrepreneurship: Community Pharmacy Management and Performance
This course* is designed to provide the student with the necessary information to
become a community pharmacy owner either through the establishment of a new pharmacy
or the purchase of an existing pharmacy. The student will learn layout and design,
location analysis, evaluation of third-party plans, and promotional offerings, as
well as the financial aspects of the development, implementation and performance of
value-added clinical services in the community setting.
*May also satisfy Ambulatory Care Concentration.
Advanced Health Systems Management, Outcomes and Services
This course* provides the student with knowledge and skills for managing population
health outcomes in health care systems. The focus is on understanding the role of
costs in health care delivery and the balance between optimizing health care costs
and achieving outcomes. Special emphasis will be given to the application of health
services research data to the quality of care from the perspective of a population-health
*May also satisfy Acute or Ambulatory Care Concentration.
Formulary Management and Drug Utilization Review
This course delves into the formulary management systems used at health plans, PBMs
and managed care organizations. Special attention is given to understanding drug use
evaluation programs in reviewing patient data for safety and appropriate medication
use. The course will explore the process of conducting DURs and how to use population
health information to inform drug therapy recommendations for health systems.