Manager, Clinical Pharmacy Operations
Core
Develop, implement, and administer clinical pharmacy tools and programs to support corporate and regional drug utilization and financial goals.
Role type
Manager, Clinical Pharmacy Operations
Builds
Clinical pharmacy programs, quality assurance initiatives, and compliant pharmacy benefit administration
Domain
Managed care / PBM clinical pharmacy operations
Required skills
People leadership, formulary management, drug utilization review, prior authorization, claims adjudication, Medicaid requirements knowledge, cross-functional coordination, quality assurance monitoring, regulatory compliance, evidence-based practice monitoring
Preferred skills
Managed care or PBM clinical pharmacy operations background, experience with PBM partners, experience with cross-functional teams
Technologies
None explicitly stated
Responsibilities
Direct and manage clinical pharmacy activities through subordinate staff, develop and maintain clinical pharmacy programs, coordinate clinical efforts with other departments, perform quality assurance monitoring of staff, oversee clinical recommendations for committee approval, monitor clinical advancements, oversee compliant administration of the pharmacy benefit, act as liaison to outside agencies and providers
Seniority
Manager, people leadership