Clinical Pharmacy Manager

Pharmacy; Albuquerque (NM); Hybrid; USD 102,000 - 184,000; Full time

Job summary

HCSC seeks a Pharmacist leader to direct the development and oversight for enterprise Pharmacy Government Programs, including Medicare and Medicaid. This role covers CMS Stars and Medicaid quality withhold programs, reimbursement methods for pharmaceuticals, and cost/utilization monitoring.

The position requires collaboration with management and external health care providers to improve quality, optimize outcomes, and enhance overall cost efficiency in pharmacy operations.

Qualifications

• Licensed pharmacist in the state with active licensure.
• Experience applying pharmacy practice guidelines or parameters and reviewing formulary programs.
• Knowledge of medication use evaluation principles and pharmacoeconomics.
• Strong drug information skills and analytical abilities.

Responsibilities

• Direct development, maintenance and oversight for enterprise Pharmacy Government Programs (Medicare and Medicaid).
• Oversee CMS Stars, Medicaid quality withhold programs, operational and reporting activities.
• Collaborate with management and external providers to improve quality of care and reduce the cost of care.

Skills

Pharmacy guidelines

Pharmacoeconomics

Medication use eval

Drug information

Analytical skills

Windows software

Communication skills

Multitasking

Education

Registered Pharmacist licensure

Tools

Microsoft Excel

PowerPoint

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This Position Is Responsible For Directing The Development, Maintenance And On-Going Oversight For Clinical And Operational Programs And Processes For Enterprise Pharmacy Government Programs Of Medicare And Medicaid. This Includes But Is Not Limited To Cms Stars And Medicaid Quality Withhold Programs, Medicare And Medicaid Operational And Reporting Activity, Programs For Prescribers And Network Of Pharmacies, Pharmacy Cost And Utilization Trends Monitoring, Clinical Programs With Emphasis On Disease Management And Clinical Outcomes, Developing And Maintaining Reimbursement Methodologies For Pharmaceuticals, Oversight Of Contracted Pharmaceutical Benefit Managers (Pbm), And For The Overall Effectiveness Of The Government Pharmacy Operations And Programs. Additionally, This Position Requires Collaboration With Management And Professional Staff Within Hcsc And With External Health Care Providers To Improve Quality Of Healthcare, Optimize Health Outcomes And Improve The Cost Of Care.

JOB REQUIREMENTS:

• Registered Pharmacist in the state.
• Corporate Pharmacist experience including experience with pharmacy practice guidelines or practice parameters; review of formulary programs, pharmacoeconomics; or pharmacy quality improvement processes/techniques.
• Knowledge of medication use evaluation principles.
• Drug information skills.
• Analytical skills.
• Experience using window based word processing, spreadsheet and relational database software.
• Verbal and written communications skills.
• Ability to remain at a work station and perform computer entry for long periods of time, as required.
• Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management.

PREFERRED JOB REQUIREMENTS:

• MTM program experience or completion of MTM/Pharmaceutical Care Training.
• Experience developing and implementing system tools.
• Experience with Microsoft excel and PowerPoint.
• Experience with Medicare Star measures.

This is a Flex (Hybrid) role: requires 3 days in office; 2 days remote

Compensation: $102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.