Pharmacy Program Manager
Core
A clinical pharmacist acting as a subject matter expert for care management teams to support members on their path to better health, decrease hospital readmissions, and reduce medical costs.
Role type
Senior clinical pharmacist (care management)
Builds
Care management programs for plan sponsors and health plans
Domain
Healthcare / Pharmacy Benefit Management / Chronic Disease Management
Required skills
Clinical pharmacy expertise, medication review, disease state management, medication adherence intervention, care coordination, clinical literature application, workflow strategy evaluation
Preferred skills
Managed care experience, Board certification, residency or fellowship, Medication Therapy Management (MTM) experience, presentation skills
Technologies
Claims databases, proprietary pharmacy software, Microsoft Teams
Responsibilities
Conduct comprehensive medication reviews and telephonic patient outreach; identify and resolve medication safety concerns and adherence issues; act as subject matter expert for pharmacy needs; oversee pharmacy technicians for benefit/precertification issues; participate in case conferences and clinical assessments; evaluate workflow strategy effectiveness; enhance clinical knowledge through rounds and newsletters.
Seniority
Senior, hands-on IC