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2 дня назад

Clinical Pharmacy Manager

102 000 - 184 300$
Формат работы
hybrid
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Clinical Pharmacy Manager (Medicare/Medicaid Programs): Directing clinical and operational pharmacy programs for government healthcare programs with an accent on quality measures, utilization trends, reimbursement methodologies, and clinical outcomes. Focus on developing pharmacy processes, overseeing contracted PBMs, monitoring cost and utilization, and collaborating with healthcare providers to improve outcomes and optimize care costs.

Location: Albuquerque, New Mexico, United States; hybrid schedule with 3 days in the office and 2 days remote

Base pay: $102,000–$184,300 annually, plus eligibility for an annual incentive bonus.

Company

hirify.global provides health insurance and government healthcare program services.

What you will do

  • Direct the development, maintenance, and oversight of clinical and operational pharmacy programs for Medicare and Medicaid.
  • Manage CMS Stars, Medicaid quality withhold, operational, and reporting programs.
  • Develop programs for prescribers and pharmacy networks, including disease management and clinical outcomes initiatives.
  • Monitor pharmacy cost and utilization trends and develop pharmaceutical reimbursement methodologies.
  • Oversee contracted pharmacy benefit managers and assess the effectiveness of government pharmacy operations.
  • Collaborate with internal stakeholders and external healthcare providers to improve quality, health outcomes, and cost of care.

Requirements

  • Registered Pharmacist license in the state of employment.
  • Corporate pharmacy experience involving practice guidelines, formulary programs, pharmacoeconomics, or pharmacy quality improvement.
  • Knowledge of medication use evaluation principles and drug information skills.
  • Analytical, written, verbal communication, prioritization, and issue-resolution skills.
  • Experience with word processing, spreadsheet, and relational database software.
  • Ability to work at a workstation and perform computer entry for extended periods.

Nice to have

  • Medication Therapy Management program experience or MTM/Pharmaceutical Care training.
  • Experience developing and implementing system tools.
  • Experience with Microsoft Excel and PowerPoint.
  • Experience with Medicare Star measures.

Culture & Benefits

  • Curated development plans and professional growth opportunities.
  • Health and wellness benefits, 401(k) savings plan, and pension plan.
  • Paid time off, paid parental leave, paid holidays, disability insurance, and supplemental life insurance.
  • Employee assistance program and tuition reimbursement.
  • Equal opportunity employment in an inclusive workplace.

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