Director of Pharmacy | Medicaid Managed Care PBM - Omaha
Establish the strategic vision, objectives and policies and procedures for the pharmacy program within this established health plan. Amazing opportunity for growth in this innovative organization.
Collaborate with Vice President of Medical Affairs in formulating and administering related organizational policies and procedures, including pharmacy service quality, pharmacy UM and achievement of Company goals for pharmacy and medical programs.
Engage with and support provider education initiatives such as counter detailing and incentive programs.
Act as the pharmacy contract administrator for the development and implementation of key contracts and ensure that relevant performance standards are met by vendors.
Resolve disputes, grievances and complaints involving pharmacy program issues.
Participate in external accreditation initiatives.
Participate in relevant boards, task forces, committees, meetings and other activities.
Manage relationships with key vendors such as pharmacy benefit management companies and pharmaceutical companies.
Manage and analyze operating costs and participate in preparing the annual budget for the assigned work function at both corporate and the health plans.
Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities.
Conduct statistical analysis of data related to assigned work function, and prepare reports and records on data and the assigned work function activities for management and corporate.
-Director must have previous experience with a Medicaid Managed Care PBM
-Current NE Pharmacist license (or licensure in progress)
-Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy.
- 3+ years of clinical pharmacy care experience.
- 3+ years of recent contracting, quality improvement and management experience in a healthcare environment, preferably managed care.
- Previous leadership experience