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Manager, Pharmacy Clinical Innovation

Company

CareSource
Address , Remote
Employment type FULL_TIME
Salary $104,400 - $182,700 a year
Expires 2023-07-15
Posted at 11 months ago
Job Description
Job Summary:
The Manager, Pharmacy Clinical Innovation is responsible for developing and executing strategies to create new, innovative Pharmacy clinical programs that drive better member outcomes.
Essential Functions:
  • Work within a cross functional team to identify and drive total cost of care savings by executing on co-developed project plans
  • Defines team measurements, goals, and tracking at the individual level, aligned with RxInnovations objectives.
  • Develop and implement new or improved procedures for operational effectiveness and efficiency
  • Contribute to the strategic vision, objectives, policies and procedures for the Pharmacy, supporting the corporate strategic vision in conjunction with department and health plan objectives
  • Works cross-functionally with multiple departments on collaborative projects
  • Perform any other job duties as requested
  • Responsible for the development and execution of a communication plan to ensure that consistent communication is occurring between staff and leadership is occurring in an ongoing and consistent manner.
  • Establishes and achieves ambitious department goals in alignment with RxInnovations objectives.
  • Prepares & delivers written reports and oral presentations for senior management that summarizes the effectiveness and design of our clinical programs, and the value they deliver to the organization
  • Represent Pharmacy on company-wide committees as assigned
  • Oversee the management of and/or manage external relationships with key vendors, ensuring that vendors meet relevant performance standards
  • Leads a high performing team of experts, strategic thinkers, and influencers, to manage and promote quality, innovation, communication, and best-in-class performance.
  • Participate in budget planning, forecasting and strategic planning efforts, as requested
  • Provide leadership and direction to the team to ensure the initiatives, goals and standards of the department are achieved
  • Review, analyze and develop policies, procedures and practices for accomplishing the assigned work functions and objectives.
  • Integrate and leverage relationships with other areas within CareSource to deliver key business initiatives
  • Oversee the development of key performance indicators and success metrics to ensure we continually assess all clinical programs to ensure that they meet the defined objectives, state/federal regulatory requirements and deliver value to the organization and our health plans
Education and Experience:
  • Minimum of one (1) year of Government program experience is preferred
  • Bachelor of Pharmacy or PharmD required
  • Three (3) years of Pharmacy experience required
  • Previous leadership experience preferred
  • Master’s Degree in Business Administration is preferred
  • Three (3) years in a healthcare environment required, one (1) of which must be in managed care or with a PBM
  • Minimum of two (2) years of product development or product management experience required
  • Experience with Medicare Stars or HEDIS quality metrics preferred
Competencies, Knowledge and Skills:
  • Decision making/problem solving
  • Strong oral, written, and interpersonal communication skills
  • Responsive to a changing environment
  • Strong interpersonal skills and high level of professionalism
  • Strong budget and forecasting skills
  • Ability to work independently & within a team environment in a fast-paced healthcare environment
  • Negotiation skills/experience
  • High level of curiosity and/or desire to be innovative/creative – to challenge the status quo and change healthcare through new models of care or clinical programs
  • Excellent problem solving skills
  • Excellent leadership, management and supervisory skills and experience
  • Conflict resolution skills
  • Effective listening and critical thinking skills
  • Presentation skills– ability to interact effectively with internal/external audiences
  • Proficient in Microsoft Excel, Word, Outlook and PowerPoint
  • Thorough knowledge of pharmaceutical care, pharmacy benefit management practices, industry trends and regulations
  • Ability to act with diplomacy and sensitivity to cultural diversity
  • Ability to maintain confidentiality and act in the company’s best interest
  • Energetic, enthusiastic, and politically astute
  • Excellent time management & leadership skills - effectively, efficiently & accurately managing multiple tasks simultaneously under tight timelines for yourself & your team in a fast-paced healthcare environment
  • Strong attention to detail
  • Strategic management skills
  • Ability to develop, prioritize and accomplish goals
  • Planning, problem identification and resolution skills
Licensure and Certification:
  • Current, unrestricted Registered Pharmacist (RPh) is required
Working Conditions:
  • General office environment; may be required to sit or stand for long periods of time
Compensation Range:
$104,400.00 - $182,700.00
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Develop Self and Others
  • Drive Execution
  • Create an Inclusive Environment
  • Cultivate Partnerships
  • Understand the Business
  • Influence Others
  • Pursue Personal Excellence

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.