Supervisor, Pharmacy - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)
Core
Provides operational and collaborative leadership for the Managed Care Pharmacy Department, focusing on quality of care, timely access, supervision, and mentorship for clinical staff and call teams.
Role type
Senior pharmacy operations supervisor (managed care)
Builds
Pharmacy cost containment strategies, departmental goals, standards, and objectives supporting the strategic plan
Domain
Healthcare / Managed Care Administration / Pharmacy Services
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Supervision and leadership of clinical pharmacists and technicians, prior authorization and call center auditing, process improvement, data review and interpretation, policy and procedure development, conflict resolution for grievances and appeals, medication use management strategy
Preferred skills
Clinical research and analytics, process improvement practices, Epic proficiency
Technologies
Epic, MS Office
Responsibilities
Supervise Pharmacist Clinical Specialist and Pharmacy Technician Call Center staff; Perform timeliness monitoring, prior authorization, and call center auditing; Work with clinical and operations staff of all vendors of pharmacy programs; Complete Prior Authorization requests clinical reviews; Maintain and update Departmental Operating Procedures and Policy and Procedures; Handle Call Center escalations and resolve issues related to grievance and appeals; Establish and update inbound and outbound call scripts; Evaluate opportunities for improved management of drug benefits through clinical research and analytics; Develop and implement pharmacy cost containment strategies
Seniority
Senior, hands-on IC with mentorship responsibilities