Manager, Clinical Pharmacy Services
Core
Oversee clinical pharmacy services, manage prior authorization workflows, and develop cost reduction and quality improvement initiatives for a national health services organization.
Role type
Manager, Clinical Pharmacy Services
Builds
Medication therapy management programs and pharmacy cost of care analysis frameworks
Domain
Healthcare / Managed Care / Pharmacy Services
Deliverable
client delivery
Required skills
Prior authorization review, medication therapy management, policy development, cost analysis, regulatory compliance, stakeholder complaint resolution
Preferred skills
Decision tree team experience, Microsoft Visio, Microsoft Excel, Microsoft Word
Responsibilities
Review and complete prior authorization requests accurately and timely, research and develop cost reduction and revenue enhancement activities, ensure compliance with laws and regulations, review provider complaints and recommend solutions, develop and implement pharmacy service policies, analyze pharmacy cost of care trends, oversee medication therapy management programs
Seniority
Manager, operational oversight