Manager, Clinical Pharmacy Services

About the role

Oversee the clinical pharmacy services function and develop new quality improvement and revenue enhancement activities.

Responsibilities

• Ensure all prior authorization requests are reviewed and completed accurately and timely
• Assist with prior authorizations and determinations for appropriate drug products for complex or escalated requests
• Research and develop new cost reduction, pricing, quality improvement and revenue enhancement activities
• Ensure that clinical pharmacy services are in compliance with laws and regulations
• Review any provider or physician complaints, recommend solutions to address the issues and update senior management as needed
• Develop and implement policies and procedures related to clinical pharmacy services
• Oversee the analysis of pharmacy cost of care and trends and recommend changes for improvements
• Oversee the development and implementation of medication therapy management programs. Evaluate program performance, recommend changes and ensure successful implementation of changes

Qualifications

• Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy
• 4+ years of mail order, retail, hospital or managed care pharmacy experience or pharmacy residency program experience
• Management experience preferred
• Current state's pharmacy license

Preferred qualifications

• Experience supporting a Prior Authorization or Decision Tree team, preferably within Medical Pharmacy
• Proficient in Microsoft applications including Visio, Excel, and Word
• Available to work a schedule that may begin as early as 9:30 AM EST

Pay

$107,700.00 - $199,300.00 per year

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules