Deputy Director of Pharmacy Operations

Position Overview

Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

Scope of Role & Responsibilities

• Executes day-to-day operations including but not limited to working with the PBM and internal teams to monitor drug spend and trends.
• Work with MPH Product, Finance and Regulatory teams to ensure drug benefits are configured as intended and within compliance with new and existing regulations.
• Supports strategies and programs for delivering pharmacy services across the plan to achieve high quality, affordable health care that improves our members’ lives.
• Supports monitoring and oversight to ensure PBM and pharmacy vendors meet contractual obligations.
• Create oversight processes to control costs and mitigate FWA risk.
• Delivers information and recommendations pertinent to external pharmacy industry trends and developments that represent risk and opportunities for the organization.
• Supports management of MetroPlusHealth formularies.
• Oversee the Restricted Recipient Program (RRP) and ensure the program is implemented in accordance with the New York State Department of Health (NYSDOH) Managed Care Contract – Appendix Q.

Required Education, Training & Professional Experience

• Doctor of Pharmacy required
• Minimum 8 (eight) years of pharmacy practice experience required
• Minimum of 4 (four) years of experience in pharmacy management of government programs (Medicare, Medicaid), required
• Supervisory experience in managed care environment required
• Experience in formulary and criteria development/management preferred
• Prior experience completing evidenced based formulary reviews, supportive literature evaluation, participation in clinical pharmacy programs, presenting clinical information to providers and committees preferred
• Proficiency with MS Word, Excel, and PowerPoint is required. Experience in the evaluation and interpretation of pharmacy claims data and other clinical data is preferred

Required Licensure and/or Certification

• Valid license and current registration to practice as a Pharmacist issued by the New York State Department of Education (NYSED).

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication
• Time Management
• Teamwork