Manager, Clinical Pharmacy Operations

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Develop, implement, and manage clinical pharmacy tools and initiatives that support corporate and regional drug utilization as well as financial objectives.

• Oversee and direct clinical pharmacy operations through subordinate staff.

• Supervise three direct reports: a pharmacist, pharmacy coordinator, and project coordinator.

• Create, execute, and sustain clinical pharmacy programs, encompassing clinical quality assurance, formulary management, drug utilization review, compliance, and educational initiatives.

• Collaborate clinical efforts with other functional departments.

• Monitor staff quality assurance and ensure compliance with regulatory standards, including Medicare Star ratings and HEDIS measures.

• Formulate clinical recommendations and guidelines for approval by the Pharmacy and Therapeutics committee.

• Stay updated on clinical advancements and evidence-based changes in pharmacy practice.

• Supervise the compliant administration of the pharmacy benefit.

• Act as the clinical pharmacy liaison to external agencies and providers.

• Collaborate with Louisiana Medicaid regulators, health plan executive leadership, Government Relations, Quality, Finance, and Actuarial teams.

• Assist with legislative talking points and meetings, provider engagement, clinical strategies, metric evaluations, policies, procedures, and CPS compliance.

• Perform additional duties as assigned while adhering to all policies and standards.

⛳️ Requirements

• Doctor of Pharmacy degree from an accredited institution.

• One to three years of clinical pharmacy experience, including formulary development, drug utilization review, and/or medication therapy management.

• Four years of progressively responsible roles within managed care pharmacy.

• At least two years in a management position.

• Experience in public speaking.

• Must reside in Louisiana.

• Must possess an active Louisiana pharmacist license.

• Full-time work is required.

• A minimum of five years of experience practicing as a pharmacist in a retail environment, with managerial experience included.

• Willingness and ability to travel to Baton Rouge, Louisiana as needed.

• Must maintain a current, valid, and unrestricted Registered Pharmacist License in Louisiana.

• Strong leadership and employee engagement capabilities.

• Ability to effectively lead through transitions.

• Extensive managed care experience, ideally in pharmacy health plan leadership.

• Previous experience with PBMs is advantageous.

• Proficiency in all Microsoft Office applications.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase programs.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible working arrangements including remote, hybrid, field, or office schedules.

• Additional incentive programs may be included in total compensation.

• Commitment to equal opportunity and diversity.